MedicaidCoverageHigh impact
BT2026104: IHCP presents status of claim-processing payment for impacted CCBHC claims
Indiana Medicaid (IHCP)·IN · Psychiatry·Claims & Billing
Effective date
Jun 5, 2026
We identified it
Jun 18, 2026
Summary
Indiana Medicaid has resolved several claim processing issues for Certified Community Behavioral Health Clinics (CCBHCs) that began January 28, 2026. Key changes include fixing crossover physician claims and private insurance suspension issues, plus retroactive denials for audio-only telehealth codes T1007 and T1016 back to January 1, 2025, with mass adjustments and recoupments coming.
Action Required
Immediately: Stop billing T1007 (substance abuse treatment planning) and T1016 (case management) with modifier 93 (audio-only telehealth) for dates of service January 1, 2025 and forward - these will deny with EOB code 6768. Billing teams must review and resubmit any denied claims from the resolved crossover and private insurance issues that will appear on June 17 and June 24, 2026 remittance advices. Prepare for upcoming mass adjustments and recoupments on previously paid T1007/T1016 claims with modifier 93.