MedicaidBilling CodesHigh impact
BT202675: IHCP announces clarifications to the policies and billing procedures for the CCBHC program
Indiana Medicaid (IHCP)·IN · Psychiatry·Claims & Billing
Effective date
Feb 1, 2026
We identified it
Jun 18, 2026
Summary
Indiana Medicaid clarifies billing procedures for Certified Community Behavioral Health Clinics (CCBHCs), including restrictions on same-day billing with CMHCs, changes to ACT service modifier requirements (V4 instead of Q2), and audio-only telehealth restrictions for specific procedure codes. These changes are effective February 1, 2026.
Action Required
Before February 1, 2026: CCBHC providers must update billing systems to use V4 modifier instead of Q2 modifier for ACT services. Stop billing T1007 and T1016 with modifier 93 (audio-only telehealth) as these will be denied. Update claim processing to include XE modifier only for crisis events or school-based services exceptions when billing same-day CMHC and CCBHC services. Remove HL and HE modifiers from CCBHC claims for supervised services.