MedicaidPrior AuthMedium impact
BT202393: IHCP announces home health policy changes
Indiana Medicaid (IHCP)·IN·Medical Policy
Effective date
Sep 1, 2023
We identified it
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.
Action Required
Before 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. Update PA documentation to include whether caregivers work or attend school remotely vs. in-person. Review 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.