MedicaidBilling CodesHigh impact
BT2025136: IHCP announces CCBHC program updates and reminders
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Feb 1, 2026
We identified it
Jun 18, 2026
Summary
IHCP announces major updates to the Certified Community Behavioral Health Clinic (CCBHC) program effective February 1, 2026. Key changes include new billing requirements for ACT services (switching from H0039 to specific service codes with V4 modifier), encounter services now paid at zero dollars instead of denied, and new EOB codes for various denial scenarios.
Action Required
By February 1, 2026: CCBHC providers must stop billing H0039 for ACT services and instead use specific procedure codes with V4 modifier (replacing Q2). Update billing system to bill encounter services at zero dollars alongside T1040. Ensure all CCBHC claims include T1040 code to avoid EOB 4288 denials. Do not bill T1007 and T1016 with modifier 93 as they will be denied with EOB 6768. Update encounter forms and train staff on new MRO LON 4 limits and new EOB codes for proper claim processing.