MedicaidAdministrativeMedium impact
BT2025100: IHCP allows grace period for provider requirement to submit MCE PA requests electronically
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Summary
Indiana Health Coverage Programs (IHCP) is implementing a requirement for providers to submit managed care entity (MCE) prior authorization requests electronically, with a three-month grace period making compliance mandatory by October 1, 2025. Exceptions are available for providers with financial hardship, insufficient internet access, or limited patient volumes.
Action Required
By October 1, 2025: Billing team and providers must register with MCE portals and begin submitting all prior authorization requests electronically through secure transmission. Contact each MCE for portal training and registration assistance. Watch for MCE communications about exception processes if your practice qualifies for financial hardship, limited internet access, or limited patient volume exceptions.