HIPAA compliant, BAA available

Measurement-Based Care for Indiana Mental Health Teams

For community mental health centres, CCBHC pilot sites, primary care practices and private clinicians from Gary to Evansville. Send validated scales by email or QR code, have them scored on submission, and see each client's PHQ-9 history on one chart as Indiana builds depression outcomes into its CCBHC metrics. US customer data stays in Google Cloud US regions.

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Indiana Measures Need, and Now Depression Outcomes

  • Indiana has tied public behavioural health care to standardized measurement for years. Medicaid Rehabilitation Option services are available only to members who meet a level of need on the Child and Adolescent Needs and Strengths (CANS) or the Adult Needs and Strengths Assessment (ANSA), which providers enter in the Division of Mental Health and Addiction's DARMHA system. The state describes both tools as supporting care planning, level-of-care decisions, quality improvement and the monitoring of outcomes.

    Symptom scores are now joining them. In its 2024 application for the federal CCBHC demonstration, Indiana wrote that the pilot sites had been submitting PHQ-9 scores and screening dates through DARMHA since July 2023. The certification criteria, updated in May 2025, require each certified community behavioral health clinic to collect and report depression remission at six months and depression screening with a follow-up plan, and to use at least one suicide risk assessment from a list that includes the C-SSRS. Measurement-based care itself is encouraged rather than required.

    Those requirements apply to the CCBHCs, which began with eight pilot sites in January 2025, not to every provider in the state. For any team, though, the useful habit is the same: a standard scale at intake, the same scale repeated, and the history kept where it can be found. HiBoop does that for the PHQ-9, GAD-7 and C-SSRS Screener. It does not run the CANS or ANSA and does not connect to DARMHA.

  • CANS and ANSA Set the Level of Need

    Entered in DARMHA to establish eligibility for Medicaid Rehabilitation Option services

  • PHQ-9 Scores in DARMHA

    Submitted by the CCBHC pilot sites since July 2023, according to Indiana's 2024 demonstration application

  • Remission at Six Months

    A required clinic-collected metric in Indiana's CCBHC certification criteria, May 2025

All regions

What HiBoop Does for Indiana Care Teams

  • Indiana covers depression screening and brief behavioural assessment in Medicaid, divides community mental health care into designated service areas, and sets its own rules on consent and records. HiBoop runs the scales, scores and charts; your clinicians make the clinical calls.

  • PHQ-9 From Intake Onward

    Send the PHQ-9 before the first visit and schedule repeats. Each score is dated and charted, so a clinic can see whether a client's depression is easing well before the six-month mark.

  • Suicide Risk Screening

    The C-SSRS Screener is one of the suicide risk tools Indiana's CCBHC criteria accept, and it sits beside the PHQ-9 in HiBoop, so a positive item 9 can lead into a structured screen.

  • Records Behind Screening Claims

    Indiana Medicaid covers 96127 and an annual depression screen under G0444, with validated tools such as the PHQ expected. HiBoop keeps the scale, score and date of every administration, exportable as CSV or PDF.

  • Anxiety and Trauma Alongside Depression

    The GAD-7, PCL-5 and PC-PTSD-5 sit in the same library, so a co-occurring presentation is measured in one place and charted together.

  • For Centres With Many Clinics

    Team and Network plans put a multi-county centre's clinicians in one account, with role-based access limiting each person to the clients their role allows.

  • Youth Screening

    For adolescent caseloads in schools and primary care, HiBoop includes the PHQ-A, the SCARED and the CRAFFT-2.1, each scored on submission.

Mental health in Indiana

Research data

  • Each figure below links to the source it comes from.

  • 25.3%

    of Indiana adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 16.0%

    of Hoosiers aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 26.2%

    of Indiana adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 6.0%

    of Indiana adults had serious thoughts of suicide in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Indiana

  • Adolescent depression screening

    Of 2,038 young people aged 12 to 20 screened by computer at two Indianapolis primary care clinics, 303 (14.8%) screened positive on the PHQ-9, and referral to mental health services rose with severity from 34.2% (mild) to 72.2% (severe).

    Aalsma et al., Journal of Adolescent Health, 2018 PMID 29174939

  • Electronic suicide screening

    In the same two Indianapolis clinics, an electronic suicide screener in a decision support system found just over 6% of 2,134 patients aged 12 to 20 positive, and providers documented follow-up for 83% of them.

    Etter et al., Journal of Adolescent Health, 2018 PMID 29195764

  • Collaborative depression care for older adults

    In the Aging Brain Care Medical Home at Eskenazi Health in central Indiana, 66% of participants with PHQ-9 scores of 14 or more had at least a 50% reduction in depressive symptoms.

    LaMantia et al., Journal of the American Geriatrics Society, 2015 PMID 26096394

  • PHQ-9 and GAD-7 in high school athletes

    Among 371 athletes at 6 southern Indiana high schools given the PHQ-9 and GAD-7 before and after the season, symptoms stayed consistent across one season in both football and non-contact athletes.

    Buddenbaum et al., Frontiers in Psychiatry, 2025 PMID 41416048

  • Rural postpartum depression care

    An open pilot of a four-session group postpartum depression intervention at two rural Indiana health systems enrolled 5 of 52 eligible people and did not meet its recruitment or retention thresholds, so the authors judged it not feasible there.

    Lau et al., Archives of Psychiatric Nursing, 2026 PMID 42863904

How Indiana's Public Behavioural Health System Works

  • HiBoop is independent of these programs and bodies and does not connect to DARMHA, Medicaid or plan systems. This is the landscape your centre, managed care entity and licensing board work in.

  • CCBHC Medicaid Demonstration

    Since January 2025

    Indiana was named one of ten new demonstration states in June 2024, after Senate Enrolled Act 1 of 2023 provided $100 million for state fiscal year 2024 and $50 million for 2025. Eight pilot sites, including Centerstone of Indiana, Hamilton Center, Oaklawn and Sandra Eskenazi Mental Health Center, are paid a clinic-specific prospective rate outside managed care.

    Eight pilot sitesDEP-REM-6Prospective payment

  • Indiana Health Coverage Programs

    Medicaid

    Healthy Indiana Plan and Hoosier Healthwise members are with Anthem, CareSource or MHS; Hoosier Care Connect with Anthem, MHS or UnitedHealthcare; PathWays with Anthem, Humana or UnitedHealthcare. Most behavioural health services are carved in to managed care, while Medicaid Rehabilitation Option and 1915(i) services are paid fee-for-service.

    Mostly carved in96127 coveredG0444 covered

  • Division of Mental Health and Addiction

    FSSA

    DMHA certifies community mental health centres and assigns each one an exclusive geographic area, county by county and, in Marion and Lake counties, township by township. It has required the ANSA for adults served by these centres at admission, every six months and at discharge since 2009, and it runs DARMHA, the data system that holds those assessments.

    CMHC service areasCANS and ANSADARMHA

  • Licensing and Compacts

    Professional Licensing Agency

    The Behavioral Health and Human Services Licensing Board licenses social workers, marriage and family therapists, mental health counsellors and addiction counsellors; the State Psychology Board licenses psychologists. Indiana has enacted PSYPACT (2022) and the Counseling Compact (2023), though the counselling compact is not yet issuing privileges for Indiana licensees.

    LMHC and LCSWPSYPACTCounseling Compact

Care Teams Across Indiana

  • Each line names the community mental health centre DMHA designates for the area. HiBoop runs in a browser, so an Indianapolis practice and a rural telehealth caseload use it the same way.

  • Indianapolis

    Marion County is divided by township among Sandra Eskenazi Mental Health Center, Adult and Child Mental Health Center and Aspire Indiana.

  • Northwest Indiana

    In Lake County, Edgewater Health serves Calumet Township and Gary, and Regional Mental Health Center serves most other townships.

  • Fort Wayne

    Park Center is the designated centre for Allen, Wells and Adams counties.

  • South Bend and Elkhart

    Oaklawn Psychiatric Center serves St. Joseph and Elkhart counties and is one of the eight CCBHC pilot sites.

  • Evansville and the Southwest

    Southwestern Indiana Mental Health Center serves Vanderburgh, Gibson, Posey and Warrick counties.

  • Bloomington and South Central

    Centerstone of Indiana serves Monroe, Bartholomew, Brown, Lawrence and other counties, and is a CCBHC pilot site.

  • Terre Haute and the Wabash Valley

    Hamilton Center serves Vigo, Clay, Greene, Parke, Sullivan and Vermillion counties, with check-ins between visits sparing clients long rural drives.

Data sovereignty

Why Indiana clinics choose HiBoop

  • Why Indiana Teams Pick HiBoop

    • Google Cloud US regions hold the data of US customers, encrypted at rest and in transit
    • A BAA for covered entities, HIPAA compliance and SOC 2 Type II certification
    • Permissions by role, plus a log of each time client data is viewed or exported
    • The Care plan is $25/month for one clinician, month to month, with no credit card up front
    • Clients complete scales on their own phone from an email or a QR code

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    Single clinician, monthly
    $25
    USD/month
    Team
    Entry price for unlimited clinicians
    $200
    USD/month
    Network
    Custom pricing for multi-site centres
    Custom
    Enterprise pricing

100+ validated scales for Indiana clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression and Suicide Risk

    • PHQ-9 (Depression)
    • C-SSRS Screener (Suicide Risk)
    • PHQ-8 (Depression, without item 9)

  • Anxiety and Trauma

    • GAD-7 (Anxiety)
    • PCL-5 (PTSD)
    • PC-PTSD-5 (PTSD Screen)

  • Young People

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Indiana Mental Health Records and Consent

  • HIPAA sets the federal floor. Indiana's code adds its own confidentiality rule for mental health records, a consent requirement before services begin, and telehealth standards. No state law certifies software; the obligations are your organization's, and HiBoop supplies safeguards that support them.

  • What Indiana law asks

    • Treat a patient's mental health record as confidential and disclose it only with consent unless the code provides otherwise, using a written release that names the patient, the parties, the purpose and the information (IC 16-39-2-3 and 16-39-2-5)
    • Obtain each patient's consent before providing mental health services (IC 16-36-1.5-4); a minor may generally consent only if emancipated or at least 14 and living independently, while a minor seeking substance use treatment from an approved facility may do so without parental consent (IC 16-36-1-3, IC 12-23-12-1)
    • In telehealth, meet the in-person standard of care and, where a provider-patient relationship requires it, confirm the client's location and identity, disclose your licensure and obtain informed consent (IC 25-1-9.5-7)
    • Keep HIPAA safeguards and breach notification, with a business associate agreement for every vendor; the Indiana Consumer Data Protection Act excludes HIPAA covered entities, business associates and nonprofits

  • What HiBoop provides

    • A business associate agreement for any HIPAA covered entity
    • US customer data hosted in Google Cloud US regions and encrypted in transit and at rest
    • Role-based access, and a log of every view and export of client data
    • SOC 2 Type II certification, with the controls set out on our trust page

  • Vetting HiBoop for your centre?

    Our trust page describes hosting, encryption, access controls and SOC 2 Type II. Contact us for a BAA or for help answering a security questionnaire.

    Read the trust centre

Grants & funding for Indiana mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Indiana practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • CCBHCCCBHCs and Outcome Data

    How certified community behavioral health clinics collect and use measures like remission at six months

  • BillingBilling 96127

    Brief emotional and behavioural assessment with a standardized instrument

  • DepressionThe PHQ-9 in Practice

    Scoring, severity bands and repeating it during treatment

  • Suicide riskC-SSRS Screener Overview

    The screener's questions and how it pairs with item 9 of the PHQ-9

Indiana Policy, Billing and Privacy Sources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Indiana require measurement-based care?

    Not for every provider. We found no Indiana statute or regulation requiring all mental health providers to use standardized symptom scales. Community mental health centres use the CANS or ANSA to establish Medicaid Rehabilitation Option eligibility, and CCBHCs must report depression remission at six months and depression screening. The CCBHC criteria encourage measurement-based care but do not require it.

  • Does Indiana Medicaid pay for 96127?

    Yes, in fee-for-service: the Indiana Health Coverage Programs fee schedule updated in June 2026 lists 96127 at $4.03 from 1 January 2026, and G0444 covers an annual depression screen. On outpatient facility claims, 96127 is included in the revenue code 918 rate. The collaborative care codes 99492 to 99494, G2214 and 99484 are listed as not covered in fee-for-service; managed care entities set their own billing rules, so check with the plan.

  • Can a teenager in Indiana consent to therapy?

    Indiana has no consent age specific to outpatient mental health care. Under the general rule in IC 16-36-1-3, a minor may consent if emancipated or if at least 14, self-supporting and living apart from their parents. A minor seeking treatment for alcohol or drug use at a DMHA-approved facility may do so without parental consent. Confirm specifics with your counsel; HiBoop's role-based access limits who sees a young client's scores.

  • Does HiBoop connect to DARMHA or complete the CANS?

    No. HiBoop does not administer the CANS or ANSA and has no connection to DARMHA, Medicaid or plan systems. It sends, scores and charts validated symptom scales and exports each client's history as CSV or PDF for your own reporting.

Official sources for Indiana

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.