MedicaidCoverageMedium impact
BT202073: FSSA clarifies amendment to the AMHH State Plan benefit
Indiana Medicaid (IHCP)·IN · Psychiatry·Medical Policy
Effective date
Apr 1, 2020
We identified it
Jun 19, 2026
Summary
Indiana Medicaid has clarified that peer support services (H0038) are no longer covered under the Adult Mental Health and Habilitation (AMHH) State Plan benefit, effective April 1, 2020. These services are now available as part of the regular Medicaid State Plan instead.
Action Required
Immediately: Billing team must update system to stop billing H0038 peer support services under the AMHH State Plan benefit for Indiana Medicaid patients. Verify that H0038 claims are processed under the regular Medicaid State Plan instead. Review any pending or denied AMHH claims containing H0038 from April 1, 2020 forward and resubmit under correct benefit category if needed.