Behavioral & Primary Healthcare Coordination (BPHC) Program
Indiana Medicaid offers coverage for Behavioral & Primary Healthcare Coordination (BPHC) home and community-based services (HCBS). This service helps members manage their physical and behavioral health care needs through education, support, and advocacy.
Who is eligible for BPHC?
You must meet HCBS eligibility and Medicaid eligibility guidelines in order to be eligible for BPHC services. To be eligible you must:
- Be 19 years of age or older
- Be eligible for Traditional Medicaid, HIP State Plan Plus, HIP State Plan Basic, or Hoosier Care Connect
You must also demonstrate a level of need by meeting the following criteria:
- Receive a score of 3 or higher on the DMHA-approved assessment tool
- Not be a danger to self or others
- Be diagnosed with an BPHC-eligible primary mental health diagnosis
- Have a documented treatment need specific to the management of behavioral and primary health care coordination that currently is or has the potential of impacting daily life
In addition to Medicaid-covered services, BPHC offers one service that consists of the coordination of health care services to manage the mental health/addiction and physical health care needs of eligible recipients.
HOW TO APPLY FOR BPHC
When should I apply?
It is helpful to apply as soon as you identify a need for services.
Where Do I Apply?
First, go to a community mental health center. You must also apply for Medicaid. You can learn more about applying for Medicaid by going to the Apply for Medicaid webpage.