Indiana FSSA Medicaid · October 27, 2026 · Primary source
BT2026151: IHCP clarifies billing guidance for providers enrolled as a CCBHC or CMHC
Summary
Indiana IHCP Bulletin BT2026151, issued September 10, 2026, clarifies NPI usage and claim submission requirements for CCBHC and CMHC providers enrolled under multiple service locations. CCBHCs must use their registered CCBHC NPI for all in-scope services delivered within their designated geographic coverage area, and CMHC NPIs only for services outside CCBHC scope or geographic area. Claims must include the correct service location address and place-of-service code, and separate claims for the same date of service at different locations will be denied.
What this may mean
CCBHC and CMHC providers in Indiana with multiple service locations face claim denials if they submit services under the wrong NPI, an inaccurate service address, or an incorrect place-of-service code. The bulletin explicitly prohibits submitting multiple claims on the same date of service to indicate separate CCBHC service locations. These requirements apply immediately to all FFS and managed care claims.
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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