MedicaidPrior AuthHigh impact
Indiana Opioid Days' Supply Limitation
Humana·IN · Pain Management, Oncology, Palliative Care +3 more·Medicaid
Effective date
Jul 1, 2024
We identified it
Jun 24, 2026
Summary
Humana Indiana Medicaid now limits short-acting opioids to maximum 7-day supplies, with only 14 total days allowed per 45-day period without prior authorization. Prior authorization is required for longer supplies unless patient has cancer, sickle cell disease, palliative care, or other terminal diagnosis.
Action Required
Immediately: Update billing system to flag opioid prescriptions exceeding 7-day supplies for Indiana Medicaid patients. Train providers on new quantity limits and prior authorization requirements for longer supplies. Add alerts to EMR for opioid prescribing limits. Ensure documentation of qualifying diagnoses (cancer, sickle cell, palliative care, terminal illness) for patients needing longer supplies to avoid prior authorization delays.