Indiana Medicaid Mental Health Telehealth Billing: POS and Modifiers

Last updated: October 9, 2026.

Check the telehealth policy and the actual code

Use the IHCP Telehealth and Virtual Services module for FFS policy and ask the responsible MCE about managed care instructions. Coverage depends on the service and delivery method. This guide was checked October 9, 2026; read later bulletins alongside the reference module.

IHCP Telehealth and Virtual Services reference module

Use the maintained telehealth code tables

Open the official Code Sets page and follow View Provider Code Tables to the Telehealth and Virtual Services Codes. Check whether the actual procedure is covered for telehealth and whether audio-only is permitted. Our recommendation is to record the table version used instead of copying an old code list into the billing workflow.

IHCP Code Sets: maintained provider code tables

Use the correct professional-claim place of service

BT202510 specifies POS 02 when the patient is outside the home and POS 10 when the patient is at home for approved telehealth procedures. Apply the instructions for the actual claim format; do not treat a professional-claim field as a universal institutional billing rule.

IHCP bulletin BT202510: telehealth POS and modifier reminder

Distinguish audio-only from audio and video

The bulletin identifies modifier 93 for eligible audio-only services and 95 for audio-video telehealth, with POS 02 or 10. It says not to use GT. A procedure’s eligibility for audio-video does not by itself authorize audio-only delivery.

IHCP bulletin BT202510: telehealth POS and modifier reminder

Document consent and the clinical service

The reference module says to obtain appropriate consent before the service and document it; verbal or electronic-signature consent may be documented. Maintain the evidence substantiating the service and apply the usual clinical documentation requirements. Telehealth does not remove the need for a clinically appropriate, documented service.

IHCP Telehealth and Virtual Services reference module

Check practitioner modifiers separately

The April 2026 behavioral health bulletin addresses modifiers when services are billed under a supervising practitioner’s NPI. Our recommendation is to review that arrangement separately from the telehealth modality, then confirm the final combination against the service rules and the responsible payer’s instructions.

IHCP bulletin BT202655: April 2026 behavioral health modifier update

Recheck updates before relying on an older module

IHCP publishes policy changes in bulletins. Our suggested review records the service date, code-table version, delivery method, member location, consent, payer, and any authorization requirement. Use the claims and eligibility guides below before submitting the claim.

Current IHCP bulletins and policy updates

Related Indiana Medicaid guides

• IHCP Provider Healthcare Portal Login and Biller Access

• Indiana Medicaid Enrollment for Therapists: Type 11 and HSPP

• Indiana Medicaid MCEs vs FFS: HIP, HHW, HCC and PathWays

• Verify Indiana Medicaid Eligibility in the IHCP PHP

• Indiana Medicaid Behavioral Health Claims: PHP, MCEs and Modifiers

• Counseling Compact in Indiana and insurance billing

Frequently Asked Questions

Which POS applies when the patient is at home?

BT202510 identifies POS 10 for approved telehealth services at home; POS 02 applies outside the home.

Can I use GT for IHCP telehealth?

BT202510 says not to use GT; follow its 93 or 95 guidance for the permitted modality.

Is all psychotherapy payable by audio-only?

Do not assume so. Check the current telehealth code set and the responsible payer’s service instructions.