MedicaidPrior AuthMedium impact
Indiana Medicaid: New prior authorization requirements for additional incontinence products
UnitedHealthcare·IN · Family Medicine, Internal Medicine, Geriatrics +1 more·State news
Effective date
Jan 1, 2026
We identified it
Jun 13, 2026
Summary
Starting January 1, 2026, UnitedHealthcare Community Plan of Indiana will require prior authorization for incontinence products when services exceed the monthly monetary benefit limit. This applies to Indiana Medicaid, PathWays for Aging, and Hoosier Care Connect plans.
Action Required
By January 1, 2026: Billing team must update prior authorization workflows for incontinence product claims exceeding monthly limits for Indiana Medicaid members. Ensure nursing assessments are completed by licensed nurses employed by the supplying provider and submit documentation via fax to 844-897-6514 using universal provider authorization form. Claims exceeding monthly limits without prior auth will be denied.