MedicaidCoverageHigh impact
BT202013: FSSA announces amendment to the Adult Mental Health Habilitation program
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Apr 1, 2020
We identified it
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.
Action Required
By April 1, 2020: Billing team must update patient eligibility screening to include members aged 19+ (previously 35+) for AMHH services. Update 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. Train staff on new prior authorization process through DARMHA system for additional units beyond package limits.