MedicaidAdministrativeMedium impact
[Indiana] Medical Records Request and Release of PHI Reminder
CareSource·IN·Provider Bulletin
Effective date
Aug 7, 2026
We identified it
Aug 11, 2026
Summary
CareSource Indiana Medicaid clarifies that providers must comply with medical records requests for audits, chart reviews, and quality performance within 21 days of request, at no charge. No member authorization is required for these disclosures as they fall under covered entity business operations. This is a reminder/reinforcement of existing contractual obligations, not a new requirement.
Action Required
By August 21, 2026 (21-day deadline from notice): Ensure all medical records requests from CareSource are tracked and responded to within the 21-day timeframe. Billing team and clinical staff should: (1) Implement a tracking system for all CareSource records requests received after August 7, 2026; (2) Designate a point person to coordinate responses using the approved submission methods (Direct EHR Access, Secure Fax, Secure Email, or Portal Upload); (3) Verify all Business Associates submitting requests have valid Business Associate Agreements with CareSource; (4) Do not request member authorization forms for audit/chart review requests from CareSource or its designated representatives. Failure to comply with timely submission (beyond 21 days) may result in contract violations and potential claim complications. Direct questions to your area's Health Partner Engagement Specialist or CareSource Privacy Officer at 1-844-607-2829 ext. 12023.