MedicaidAdministrativeHigh impact
BT202653: IHCP presents weekly status of claim-processing payment for impacted CCBHC claims
Indiana Medicaid (IHCP)·IN · Psychiatry·Claims & Billing
We identified it
Jun 18, 2026
Summary
Indiana Medicaid (IHCP) has identified ongoing claim processing issues for Certified Community Behavioral Health Clinics (CCBHCs) following a January 28, 2026 system implementation. Claims are incorrectly suspending due to service unit limit audits and incorrectly denying for third-party liability and Medicare coordination of benefits issues.
Action Required
Immediately: CCBHC billing teams should halt resubmission of suspended or denied claims as IHCP is actively working to resolve system issues. Monitor for weekly updates from IHCP regarding resolution progress. Contact Provider Relations consultant with specific questions about affected claims. Claims will be processed automatically once system fixes are implemented.