Indiana FSSA Medicaid · October 24, 2026 · Primary source
BT202656: IHCP presents weekly status of claim-processing payment for impacted CCBHC claims
Summary
IHCP Bulletin BT202656 (April 14, 2026) provides a weekly status update on claim-processing errors affecting certified community behavioral health clinic (CCBHC) claims in Indiana Medicaid following a system implementation on January 28, 2026. Ten specific CCBHC audit codes are causing claims for community mental health centers (provider type 11, specialty 111) to suspend, and two EOB denial codes (2505 and 0593) are being incorrectly applied due to TPL and Medicare coordination-of-benefits data issues. The IHCP states that corrections are in progress and providers do not need to resubmit claims.
What this may mean
Indiana CCBHC and CMHC providers are experiencing suspended and incorrectly denied claims across ten audit categories, including addiction counseling, behavioral health therapy (individual and group), case management, psychosocial rehabilitation, and skills training. The IHCP has instructed providers not to resubmit affected claims while system corrections are underway, but cash flow for affected CMHCs is disrupted pending resolution. No new regulatory obligation is imposed; the bulletin serves as an operational status notice.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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