MedicaidDocumentationMedium impact
BT202640: IHCP reminds providers about 97155 and 97156 documentation requirements
Indiana Medicaid (IHCP)·IN · Psychiatry, Pediatrics·Provider Bulletin
We identified it
Jun 18, 2026
Summary
Indiana Medicaid is reminding providers of existing documentation requirements for ABA therapy codes 97155 and 97156. Providers must maintain specific documentation including referral records, treatment plans, and detailed session notes, and be able to produce them within 72 hours of request.
Action Required
Immediately: Billing and clinical staff must ensure all ABA therapy claims for codes 97155 and 97156 include complete documentation: original referral with diagnostic evaluation, signed behavior assessment and treatment plan, and session notes with date/time/location/duration and session-specific targeted skills. Must be able to produce all documentation within 72 hours of IHCP request. Claims may be denied or recouped if documentation is incomplete.