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MedicaidCoverageMedium impact

BT202542: IHCP delays ABA service limitations to June 1, 2025

Indiana Medicaid (IHCP)·IN · Psychiatry, Pediatrics·Specialty Services
Effective date
Jun 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

The Indiana Health Coverage Programs (IHCP) has delayed the implementation of weekly and lifetime limits for Applied Behavioral Analysis (ABA) therapy services until June 1, 2025. Additional billing and prior authorization guidance will be released in a forthcoming bulletin.

Action Required

Action needed
Before June 1, 2025: Billing team must monitor for upcoming IHCP bulletin with specific billing and prior authorization requirements for ABA therapy services. Check the Applied Behavioral Analysis therapy services webpage on in.gov/fssa for updated implementation details. Prepare to implement new weekly and lifetime limits for ABA services when guidance is released.