MedicaidCoverageHigh impact
BT202474: IHCP clarifies the role of other behavioral health professionals and intake assessments
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
May 30, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) clarifies that other behavioral health professionals (OBHPs) cannot complete intake assessments for new clients and will not be reimbursed for these services. Only specific licensed professionals or supervised qualified behavioral health professionals (QBHPs) with cosignatures can perform and bill for intake assessments.
Action Required
Immediately: Billing team must ensure only physicians, HSPPs, LCSWs, LMFTs, LMHCs, LCACs, APRNs, or supervised QBHPs are billing for intake assessments. Update billing system to flag intake assessment claims from OBHPs for denial. Require cosignatures from supervising licensed practitioners for all QBHP intake assessment claims. Train staff on provider qualification verification before processing intake assessment claims to avoid partial or full claim denials.