MedicaidPrior AuthMedium impact
BT2024152: FSSA provides guidance to PathWays providers as the continuity-of-care period ends Sept. 28, 2024
Indiana Medicaid (IHCP)·IN · Geriatrics·Managed Care
Effective date
Sep 28, 2024
We identified it
Jun 19, 2026
Summary
The Indiana PathWays for Aging program's initial 90-day continuity-of-care period ends September 28, 2024. After this date, providers must follow standard PathWays MCE authorization requirements, though individual extensions may apply for HCBS members without completed service plans.
Action Required
By September 28, 2024: Billing team must verify authorization requirements with PathWays MCEs for all services provided to PathWays members after this date. Contact individual MCEs to confirm if continuity-of-care extensions apply for HCBS members without completed service plans. Update authorization tracking system to flag PathWays members for standard pre-authorization processes.