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MedicaidAdministrativeMedium impact

BT202258: OMPP clarifies care coordination policies with MCEs

Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
Effective date
Jul 21, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid clarifies that managed care entities (MCEs) do not need a five-digit patient code or release of information to coordinate care with inpatient facilities, community mental health centers, and substance use disorder residential providers. This removes barriers that some facilities have been creating for case managers and discharge planners.

Action Required

Action needed
Immediately: Staff coordinating with Indiana Medicaid MCEs should stop requesting five-digit patient codes from case managers for care coordination. Update protocols to allow MCE discharge planners, case managers, and therapists to communicate about members without requiring patient codes or release of information forms for basic care coordination activities.