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Indiana Medicaid (IHCP)Medicaid · Prior Auth · Medical Policy · INMedium impact

BT202393: IHCP announces home health policy changes

Effective date
Sep 1, 2023
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) is updating home health service eligibility indicators, hourly determination guidelines, and prior authorization documentation requirements. Key changes include moving certain caregiver indicators between categories, removing condition-specific indicators for multiple disorders, and eliminating requirements for written statements from employers and military representatives.

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What to do

Action · 3 steps
01Before September 1, 2023: Billing team must update home health prior authorization processes to remove requirements for employer work schedules, school class schedules, and written statements from military representatives or employers.
02Update PA documentation to include whether caregivers work or attend school remotely vs. in-person.
03Review current home health cases to ensure compliance with new eligibility indicators that no longer require condition-specific criteria for central nervous system, gastrointestinal, musculoskeletal, respiratory, and urinary/renal disorders.

Original notice

BT202393: IHCP announces home health policy changes
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT202040: IHCP COVID-19 Response: IHCP revises home health prior authorization and telemedicine policiesMediumEffective Apr 8, 2020 · Prior AuthorizationBT202525: IHCP provides updated guidance for home health services prior authorization documentationMediumEffective Apr 1, 2025 · Prior AuthorizationBT202669: IHCP reminds home health agencies of best practices for PA submissionsMediumEffective May 7, 2026 · Specialty ServicesBrowse every Indiana Medicaid (IHCP) change in the policy list

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Indiana Medicaid (IHCP) policiesIN policy changes

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