MedicaidCoverageLow impact
BT202347: FSSA renews CMHW State Plan benefit
Indiana Medicaid (IHCP)·IN · Psychiatry, Pediatrics·Medical Policy
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana's Child Mental Health Wraparound (CMHW) State Plan benefit is being renewed with amendments effective July 1, 2023. Key changes include increased daily respite care limits from 28 to 40 days per care plan year, reduced hourly respite care limits from 39 to 27 units per day, and allowing service limits to be exceeded when medical necessity is met.
Action Required
By July 1, 2023: Billing teams serving pediatric mental health patients in Indiana should update billing systems to reflect new CMHW service limits - increase daily respite care maximum from 28 to 40 days per care plan year and reduce hourly respite care from 39 to 27 fifteen-minute units per calendar day. Note that service limits can now be exceeded with documented medical necessity. Contact FSSA Division of Mental Health and Addiction Youth Services at DMHAYouthservices@fssa.in.gov for questions.