MedicaidReimbursementMedium impact
BT202405: IHCP announces correction to start date of new CMHW rates
Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
Effective date
Dec 7, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid corrected the effective date for new Child Mental Health Wraparound (CMHW) billing rates from October 1, 2023 to December 7, 2023. Claims with dates of service on or after December 7, 2023 should use the new higher rates, with automatic mass adjustments being processed by Gainwell Technologies.
Action Required
Immediately: For CMHW services, billing team must use new rates for all claims with dates of service on or after December 7, 2023. If claims were already submitted with old rates for DOS after December 7, 2023, submit corrected claims to receive the new higher rates. Monitor remittance advices beginning January 23, 2024 for automatic adjustments with ICN/Claim IDs beginning with 52.