MedicaidAdministrativeMedium impact
BT2026113: IHCP presents status of claim-processing payment for impacted CCBHC claims
Indiana Medicaid (IHCP)·IN · Psychiatry·Reimbursement
We identified it
Jul 3, 2026
Summary
IHCP is processing system corrections for CCBHC claims affected by a January 28, 2026 system implementation. Two specific issues are being resolved: (1) Members with third-party liability for optical coverage experiencing erroneous claim denials, and (2) Members in the 590 Program receiving incorrect denials with EOB code 2033. Providers should NOT resubmit claims as IHCP will automatically reprocess them as system updates are completed.
Action Required
REQUIREMENTS:
- Immediately: Billing team should STOP resubmitting denied CCBHC claims for members with third-party optical liability or 590 Program enrollment. IHCP will automatically reprocess these claims.
- Monitor for resolution: Track claims previously denied with EOB code 2033 (Invalid claim type for program billed) for 590 Program members. These will be corrected by IHCP system updates.
- Document issue: Flag and preserve any claim denials matching these two scenarios (optical third-party liability denials OR 590 Program members with 2033 EOB codes) for tracking purposes until IHCP confirms resolution.
- Contact Provider Relations: If claim reprocessing does not occur within a reasonable timeframe (recommend 10-14 business days), reach out to your IHCP Provider Relations consultant at 800-457-4584 for status update.
- NO ACTION NEEDED: Do not modify billing processes, codes, or encounter forms. This is a system-side correction only.