MedicaidAdministrativeMedium impact
BT2025131: Updated Consent for Sterilization form available
Indiana Medicaid (IHCP)·IN · OB-GYN, Urology, General Surgery·Provider Bulletin
Effective date
Sep 9, 2025
We identified it
Jun 18, 2026
Summary
CMS has released updated Consent for Sterilization forms (HHS-687 in English and HHS-687-1 in Spanish) that must be used immediately for all new sterilization procedure consents. Existing consents with July 31, 2025 expiration dates remain valid, and expired forms are accepted if signed by October 9, 2025.
Action Required
Immediately: Download updated HHS-687 (English) and HHS-687-1 (Spanish) Consent for Sterilization forms from in.gov/medicaid/providers Forms webpage. Replace old forms in clinical areas and ensure providers use new versions for all initial sterilization consents. Review Family Planning Services provider reference module for completion instructions. No re-consent needed for patients with forms signed before July 31, 2025 expiration.