MedicaidBilling CodesMedium impact
BT2024196: IHCP reminds providers of services included in per diem for residential SUD treatment
Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
We identified it
Jun 19, 2026
Summary
Indiana Medicaid is reminding providers that specific services (individual/group therapy, case management, drug testing, etc.) are included in the per diem rates for residential SUD treatment codes H2034 and H0010. These bundled services cannot be billed separately, and third-party providers performing included services should not bill Medicaid to avoid double billing.
Action Required
Immediately: Billing teams at SUD residential treatment facilities must ensure H2034 and H0010 services include required U1 (adult) or U2 (child) modifiers and stop billing separately for included services (individual therapy, group therapy, medication training, case management, drug testing, peer recovery supports). Coordinate with third-party laboratories and service providers to prevent them from billing Medicaid for services already included in the per diem rate. Failure to comply will result in double billing recoupment.