MedicaidAdministrativeMedium impact
BT202391: IHCP assures providers of prior authorization consistency
Indiana Medicaid (IHCP)·IN·Prior Authorization
Effective date
Aug 3, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) is transitioning to a new prior authorization contractor, Kepro, but assures providers that PA decision-making criteria and hierarchy remain unchanged. A new 'Peer to Peer' appeal option is now available through Kepro's Atrezzo Provider Portal.
Action Required
Immediately: Billing and clinical staff should familiarize themselves with Kepro's Atrezzo Provider Portal for submitting prior authorization requests and reconsideration appeals. Update internal processes to include the new 'Peer to Peer' appeal option. Train staff on accessing the new portal system while maintaining existing PA decision hierarchy protocols.