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MedicaidReimbursementMedium impact

BT2023106: IHCP announces new rates for CMHW, effective Oct. 1, 2023

Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
Effective date
Oct 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) has implemented new reimbursement rates for Child Mental Health Wraparound (CMHW) services effective October 1, 2023. Providers must begin billing with the updated rates for services provided on or after this date, and any claims submitted with old rates will require corrected claims to receive proper payment.

Action Required

Action needed
Immediately: Billing team must update system with new CMHW rates for H2014, H2015, S5151, T1005, and T2022 codes for dates of service on or after October 1, 2023. Update fee schedules in billing software and notify providers of rate changes. Submit corrected claims for any CMHW services already billed with old rates for DOS after October 1, 2023 to receive proper reimbursement.

Affected Billing Codes

H2014
H2015
S5151
T1005
T2022