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Indiana Medicaid (IHCP)Medicaid · Coverage · Specialty Services · IN · PsychiatryHigh impact

BT202013: FSSA announces amendment to the Adult Mental Health Habilitation program

Act
by Apr 1, 2020
Effective date
Apr 1, 2020
Identified
Jun 19, 2026

Summary

Indiana Medicaid expanded the Adult Mental Health Habilitation program effective April 1, 2020, lowering the eligibility age from 35+ to 19+ years and significantly increasing maximum service limits across multiple billing codes including skills training, case management, therapy, and addiction counseling services.

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What to do

by Apr 1, 2020 · 3 steps
01Billing team must update patient eligibility screening to include members aged 19+ (previously 35+) for AMHH services.
02Update billing system limits for affected codes: H2014 skills training from 2 to 6 hours per day, T1016 case management from 200 to 400 hours per package period, H0004 therapy from 24 to 75 hours per package period, and H2035 addiction counseling limits as specified.
03Train staff on new prior authorization process through DARMHA system for additional units beyond package limits.

Codes mentioned

H2014T1016H0004H2035

Original notice

BT202013: FSSA announces amendment to the Adult Mental Health Habilitation program
in.gov · Always check the source before changing claims.
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Related changes

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BT2024156: IHCP clarifies guidelines for using MRO billing and prior authorization codesMediumEffective Oct 1, 2024 · Prior AuthorizationBT2025169: IHCP and DDARS announce changes to waiver services, effective Jan. 1, 2026HighEffective Jan 1, 2026 · Specialty ServicesBT2026134: IHCP and DMHA to enforce service caps for Child Mental Health Wraparound programHighEffective Aug 1, 2025 · Provider BulletinBT202006: FSSA changes rate and methodology for A&D and TBI waiver servicesMediumEffective Feb 1, 2020 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesPsychiatryCode H2014Code T1016Code H0004Code H2035

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