MedicaidAdministrativeLow impact
BT202097: FSSA will amend BPHC program, pending CMS approval
Indiana Medicaid (IHCP)·IN · Psychiatry, Primary Care·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 19, 2026
Summary
Indiana's FSSA has submitted amendments to the BPHC (Behavioral and Primary Healthcare Coordination) program to CMS for approval, including allowing additional service units through prior authorization, renaming community health workers to integrated health technicians, and reducing required experience from 3 to 2 years for staff conducting evaluations.
Action Required
No immediate action required for billing teams. This is an informational bulletin about pending program changes that primarily affect provider qualifications and terminology rather than billing processes. Monitor for future updates if your practice provides BPHC services to Indiana Medicaid patients.