Billing Requirements for CMHC and BHC Providers Billing Loop Taxonomy Reminder
Date: 03/02/26
Meridian would like to remind providers of rendering and billing loop taxonomy requirements for billing BHC and CMHC services, that were effective January 1, 2026, for Meridian Medicaid Plan, YouthCare, and Wellcare Meridian Dual Align (HMO D-SNP).
Please follow these guidelines for submission
The billing taxonomy for the BHC or CMHC taxonomy must be in the Billing Loop 2010AA PRV of the X12 5010 837P, or Box 33–Billing Information on the CMS 1500 paper claim format as follows:
Provider | HFS Provider Type | HFS Required Taxonomy |
|---|---|---|
Community Mental Health Center (CMHC) | 036 | 261QM0801X |
Behavioral Health Clinic (BHC) | 027 | Use taxonomy based on the age of the member as indicated below |
Children and Adolescents | 027 | 261QM0855X |
Adult | 027 | 261QM0855X |
For more information on billing requirements consult the IAMHP billing guide at IAMHP.org/providers. Questions? Please contact Provider Services at 866-606-3700 or reach out to your Provider Engagement contact.