MedicaidAdministrativeMedium impact
BT2024128: IHCP provides clarification for BT202489 and hospice member disenrollment
Indiana Medicaid (IHCP)·IN · Palliative Care·Specialty Services
Effective date
Aug 15, 2024
We identified it
Jun 19, 2026
Summary
IHCP clarified procedures for hospice member disenrollment from managed care plans and transfers between hospice providers. For Hoosier Healthwise members, providers must fax the Medicaid Hospice Election form to a dedicated line and follow up with a phone call to Acentra Health before submitting prior authorization requests.
Action Required
Immediately: Hospice providers serving Hoosier Healthwise members must update disenrollment procedures - fax Medicaid Hospice Election form to 800-922-9805 with 'Hospice Member Disenrollment from Managed Care' on cover sheet, then call 866-725-9991 to notify Acentra Health before submitting PA requests. For transfers between FFS hospice providers, use Atrezzo Provider Portal or fax 800-261-2774 with required forms (IHCP Prior Authorization Revision Request Form and State Form 48733).