MedicaidReimbursementMedium impact
BT2026150: IHCP to adjust CCBHC claims
Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
Effective date
Oct 14, 2026
We identified it
Sep 11, 2026
Summary
IHCP is adjusting previously reimbursed CCBHC claims for QMB-only and SLMB-only Medicare beneficiaries to pay only Medicare coinsurance, copayments, or deductibles (not full service amounts). T1040 modifiers will no longer be required on these crossover claims. Mass claim adjustments will appear on remittance advices starting October 14, 2026.
Action Required
By October 14, 2026: Billing team must prepare to receive claim adjustments on remittance advices for previously reimbursed CCBHC crossover claims (ICNs/Claim IDs beginning with 52). Update internal documentation and claim tracking systems to reflect that QMB-only and SLMB-only member CCBHC claims will now be reimbursed at Medicare coinsurance/copayment/deductible amounts only, with T1040 no longer required. Reconcile incoming RA adjustments against historical claim records to ensure accuracy. Train billing staff to recognize these mass replacement adjustments and not resubmit corrected claims.