MedicaidBilling CodesMedium impact
BT202249: IHCP adds additional coverage in response to SEA 284 telehealth billing guidance
Indiana Medicaid (IHCP)·IN · Psychiatry, Pediatrics·Telehealth
Effective date
Jul 21, 2022
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) is adding four new telehealth codes effective July 21, 2022: 97155 and 97156 for applied behavior analysis therapy, H0038 for self-help/peer services, and H2014 for skills training. These services require specific place of service codes (02 or 10) and modifiers (93 or 95) for proper billing.
Action Required
By July 21, 2022: Billing team must update system to accept new telehealth codes 97155, 97156, H0038, and H2014 for Indiana Medicaid claims. Configure system to require place of service codes 02 or 10 and modifiers 93 or 95. Train providers that ABA services (97155, 97156) require audiovisual interaction only - no audio-only billing allowed. Update encounter forms to include these telehealth requirements.