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Indiana Opioid Days' Supply Limitation
Act
immediately
Effective date
Jul 1, 2024
Identified
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.
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What to do
immediately · 4 steps
01Update billing system to flag opioid prescriptions exceeding 7-day supplies for Indiana Medicaid patients.
02Train providers on new quantity limits and prior authorization requirements for longer supplies.
03Add alerts to EMR for opioid prescribing limits.
04Ensure documentation of qualifying diagnoses (cancer, sickle cell, palliative care, terminal illness) for patients needing longer supplies to avoid prior authorization delays.
Original notice
Indiana Opioid Days' Supply Limitation
mcp.humana.com · Always check the source before changing claims.