Indiana Medicaid Billing for Home Care Agencies
Indiana’s Medicaid system offers some of the nation’s highest reimbursement rates for home care, but recent changes have created new operational challenges. Paradigm is your one-stop solution for navigating Indiana’s complex billing environment: automating claims, preventing denials, and getting you paid on time.
Frequently Asked Questions
A common timeframe is 60–120 days, though the exact timeframe varies by state and can be longer if applications are incomplete or require corrections.
EVV is required for personal care and home health services billed to Medicaid. Claims for these services will deny if the corresponding EVV data is incomplete, inaccurate, or missing in Sandata at the time of adjudication.
Indiana uses an Open Vendor Model for Electronic Visit Verification (EVV). Agencies can either use the state-sponsored Sandata system at no cost or another EVV vendor that is integrated with the Sandata aggregator. All EVV-covered visits must be sent to Sandata for claims to be paid.
How Paradigm can Help
Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
& Eligibility
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
Credentialling
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
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"In the past, some payments would show up 2-3 months after services were provided; with Paradigm in place, all VA payments arrive just a week after billing is concluded."
“Paradigm makes my life so much easier with automated billing. Gives me time to focus on other critical areas.”
"Paradigm handles all of our current billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"
