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MedicaidAdministrativeMedium impact

BT2025109: IHCP issues CCBHC-specific encounter code updates and guidance

Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Jul 29, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) has released new guidance for Certified Community Behavioral Health Clinic (CCBHC) encounter codes, including modality definitions, eligible populations, allowable activities, and provider requirements. The guidance must be requested via email from CCBHCQuestions@fssa.in.gov and may be updated throughout the CCBHC Demonstration period.

Action Required

Action needed
Immediately: CCBHC providers must email CCBHCQuestions@fssa.in.gov to request the new encounter code definition guidance. Review the guidance for modality definitions, eligible populations, allowable/unallowable activities, and provider requirements. Update billing procedures and staff training based on the new code-specific requirements to ensure compliance with CCBHC service expectations.