MedicaidAdministrativeHigh impact
[Indiana] Prior Authorization Electronic Submission Mandate
CareSource·IN·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
May 9, 2026
Summary
Effective October 1, 2025, Indiana Medicaid providers must submit all prior authorizations to CareSource through electronic methods (Provider Portal or e-Fax). Paper mail and phone submissions are only allowed for providers meeting strict exception criteria (financial hardship, lack of internet access, or minimal patient volume). Billing teams must transition to electronic submission workflows immediately to avoid claim processing delays.
Action Required
By September 30, 2025: (1) Billing team and providers must register for CareSource Provider Portal at the provided URL and complete training with Health Partner Engagement Specialists. (2) Update all prior authorization submission workflows to use electronic methods (Provider Portal or e-Fax to 1-844-417-6157) instead of mail or phone. (3) Document current submission method capabilities and determine if your practice qualifies for exception status (financial hardship, insufficient internet, or minimal Medicaid patient volume). (4) If exception status applies, submit exception request to CareSource and use only approved exception methods (phone: 1-844-607-2831 or mail to PO Box 1307, Dayton, OH 45401-1307). (5) Train all staff responsible for prior authorizations on new electronic submission process. Failure to comply will result in prior authorization denials and subsequent claim rejections for Indiana Medicaid patients.