MedicaidAdministrativeMedium impact
BT202661: IHCP presents status of claim-processing payment for impacted CCBHC claims
Indiana Medicaid (IHCP)·IN · Psychiatry·Claims & Billing
Effective date
Apr 28, 2026
We identified it
Jun 18, 2026
Summary
Indiana Medicaid is experiencing claim processing issues for Certified Community Behavioral Health Clinics (CCBHCs) following a January 28, 2026 system implementation. Claims are incorrectly suspending due to new audit limits and incorrectly denying for TPL and Medicare COB issues, with some corrections already processed.
Action Required
Immediately: CCBHC providers should monitor remittance advice dated April 30, 2026 for reprocessed claims that were incorrectly denied for EOB codes 2505 and 0593. Do not resubmit claims as they are being automatically corrected. Contact Provider Relations consultant for questions about suspended claims due to new audit limits for behavioral health services.