IHCP removes therapy visit limit for Package C – CHIP members

IHCP removes therapy visit limit for Package C – CHIP members

The Indiana Health Coverage Programs (IHCP) is removing the 50-visit limit per rolling 12 months for physical, speech, occupational, and respiratory therapy for Package C – Children’s Health Insurance Program (CHIP) members, effective for dates of service on or after January 17, 2020.

This change is being made as part of the IHCP federal compliance report with the Centers for Medicare & Medicaid Services (CMS) for the Mental Health Parity and Addiction Equity Act (MHPAEA). This limit is currently being removed from the Indiana Administrative Code 405 IAC 13-7-2 and is being edited out of the managed care entity (MCE) contracts.

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