MedicaidBilling CodesMedium impact
BT2020122: IHCP announces procedure codes for newly enrolled behavioral health professionals
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Jan 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) now allows six new types of behavioral health professionals to enroll and bill for specific mental health services effective November 1, 2020. Additionally, starting January 1, 2021, mid-level modifiers will no longer override NCCI edits for psychotherapy services billed same-day as evaluation and management services unless the behavioral health provider is individually enrolled.
Action Required
By January 1, 2021: Billing team must update billing system rules to ensure mid-level modifiers no longer override NCCI edits for psychotherapy services billed same-day as evaluation and management services. Verify that behavioral health providers are individually enrolled with their own NPIs to avoid NCCI edit denials. Update staff training on proper billing procedures for newly eligible behavioral health provider specialties (616-621) using the approved procedure codes listed.