[Indiana] Follow-Up After Hospitalization for Mental Illness (FUH)

By 2025-05-01: Billing team must update claim submission protocols to ensure all follow-up visits after mental illness hospitalization include a mental health diagnosis code in any position on the claim, even when performed by primary care or non-psychiatry providers. Update encounter forms and EMR templates to prompt providers to document the inpatient discharge summary and confirm the mental health diagnosis is captured. Train front-line staff and providers that follow-up visits may now be billed by any licensed healthcare provider (not limited to behavioral health specialists) and that peer support and psychiatric residential treatment services now qualify as valid follow-up visit types. Verify billing software logic allows claim submission without requiring mental health provider specialty. Coordinate with behavioral health team to ensure patients are referred to long-term behavioral health providers even if PCP performs initial follow-up. Failure to include qualifying mental health diagnosis on claims will result in measure non-compliance and potential payment denials.