CommercialAdministrativeMedium impact
BT202533: IHCP provides clarification on CCBHC NPI enrollment for commercial and marketplace plans
Indiana Medicaid (IHCP)·IN · Psychiatry·Enrollment
Effective date
Mar 6, 2025
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs clarified that CCBHC providers can enroll their unique CCBHC NPIs in commercial and marketplace plans administered by MCEs, reversing previous enrollment denials. MCEs must continue to deny Medicaid claims from CCBHC providers but should allow enrollment for commercial coverage.
Action Required
Immediately: CCBHC providers in Indiana should re-attempt enrollment of their unique CCBHC NPIs with commercial and marketplace plans if previously denied. Billing teams must ensure Medicaid claims from CCBHC providers (specialty 623) are submitted directly to Gainwell Technologies, not through MCE plans. Update billing workflows to route CCBHC claims appropriately based on plan type.