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BT2020122: IHCP announces procedure codes for newly enrolled behavioral health professionals
Act
by Jan 1, 2021
Effective date
Jan 1, 2021
Identified
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.
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What to do
by Jan 1, 2021 · 3 steps
01Billing 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.
02Verify that behavioral health providers are individually enrolled with their own NPIs to avoid NCCI edit denials.
03Update staff training on proper billing procedures for newly eligible behavioral health provider specialties (616-621) using the approved procedure codes listed.
Codes mentioned
9078590791908329083490837908399084090846908479084990853908999612796138961399614696156961589615996164961659616796168961709617199401994079940899409G0444G0466G0467G0468G0469G0470H0031H0035H0038H2011T1015
Original notice
BT2020122: IHCP announces procedure codes for newly enrolled behavioral health professionals
in.gov · Always check the source before changing claims.
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