MedicaidAdministrativeMedium impact
BT202689: CCBHC providers can view MRO benefit limit information through the IHCP Portal
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Jun 4, 2026
We identified it
Jun 18, 2026
Summary
CCBHC providers can now view MRO benefit limit information directly through the IHCP Portal to track service units used and remaining for their patients. This streamlines eligibility verification and helps determine when prior authorization is needed for services exceeding LON-4 thresholds.
Action Required
CCBHC billing staff should immediately begin using the IHCP Portal's new Limit Details panel to verify MRO benefit limits before billing. Access eligibility verification, expand the Limit Details panel to view service units used and remaining for the 180-day benefit period. Use this information to determine when prior authorization is required for services exceeding LON-4 thresholds.