MedicaidDocumentationMedium impact
BT2023105: IHCP clarifies documentation requirements for psychiatric inpatient admissions
Indiana Medicaid (IHCP)·IN · Psychiatry·Provider Bulletin
Effective date
Apr 10, 2023
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) has clarified that psychiatric inpatient admissions and psychiatric residential treatment facilities no longer require the State Form 44697 for prior authorization. Instead, a Plan of Care (POC) must be submitted within 14 working days of admission, demonstrating medical necessity criteria.
Action Required
For Indiana Medicaid psychiatric inpatient admissions on or after April 10, 2023: Stop submitting State Form 44697/OMPP 1261A for prior authorization. Instead, ensure the member's Plan of Care (POC) is submitted to the FFS PA contractor within 14 working days of admission. The POC must clearly demonstrate that ambulatory care doesn't meet treatment needs, inpatient services are required under physician direction, and services are expected to improve the patient's condition. Contact Kepro Customer Service at 866-725-9991 with questions.