Bill > HB1206

This bill requires the Indiana Medicaid program to reimburse dental procedures performed under anesthesia at ambulatory outpatient surgical centers at a rate equal to 100% of the Medicare reimbursement rate for the same service, starting January 1, 2026. Specifically, the bill targets procedures where a patient is under anesthesia and uses specific medical coding (G0330 or its successor code) at surgical centers as defined in Indiana Code 16-18-2-14. By mandating reimbursement at the full Medicare rate, the bill aims to ensure that healthcare providers are adequately compensated for performing dental procedures that require anesthesia in outpatient surgical settings. The bill will take effect July 1, 2025, with the new reimbursement requirement becoming active on January 1, 2026, giving providers and the state Medicaid office time to prepare for the change.

Health and Social Services

https://iga.in.gov/legislative/2025/bills/house/1206/details