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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Specialty Services · IN · Psychiatry, PM&R (Physical Medicine & Rehab)Medium impact

BT202696: IHCP announces system correction to include certain MFP waiver services

Act
by Dec 6, 2026
Effective date
Jan 1, 2026
Identified
Jun 18, 2026

Summary

Indiana Medicaid corrected a system error and added 6 Money Follows the Person (MFP) waiver services to their fee-for-service claim processing system, effective retroactively to January 1, 2026. Providers can now submit or resubmit claims for these behavioral management, employment support, and benefits counseling services within 180 days of June 9, 2026.

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What to do

by Dec 6, 2026 · 3 steps
01Billing team should review claims for MFP waiver services with codes H0004, T2025, and T2040 denied since January 1, 2026, and resubmit with appropriate modifier combinations (U7, U5, UA, UB, UC as specified).
02Include first page of bulletin BT202696 when submitting claims beyond standard filing limit.
03Update billing system to recognize these code/modifier combinations for MFP CIH, H&W, and PathWays waiver patients.

Codes mentioned

H0004T2025T2040

Original notice

BT202696: IHCP announces system correction to include certain MFP waiver services
in.gov · Always check the source before changing claims.
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