MedicaidCoverageMedium impact
BT2022107: Caregiver Coaching and Behavior Management service added for A&D waiver
Indiana Medicaid (IHCP)·IN · Geriatrics, Family Medicine, Internal Medicine·Specialty Services
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid adds new Caregiver Coaching and Behavior Management (CCBM) service for A&D waiver participants, billable using H0004 with modifiers U7 and U4 at $10 per 15-minute unit. Providers must apply to add this service to their certification and meet specific requirements including caregiver coach qualifications and structured assessment processes.
Action Required
By January 1, 2023: Providers interested in offering CCBM services must contact daproviderapp@fssa.in.gov to add this service to their certification letter. Include policies for communication methods, caregiver coach job descriptions, and operational procedures for assessments and crisis planning. Update billing systems to include H0004 with modifiers U7 and U4 for 15-minute units at $10 per unit, with maximum 32 units (8 hours) per month per member.