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MedicaidAdministrativeMedium impact

BT202360: Program Integrity reminds providers about the prepayment review process and requirements

Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Indiana Medicaid has issued a reminder bulletin about their prepayment review (PPR) process, which requires providers to submit all supporting documentation with claims during review periods. Providers can be removed from PPR after 3 months if they maintain 85% approval rate and stay within 10% of pre-PPR claim volume.

Action Required

Action needed
If placed on PPR: Submit ALL supporting documentation with every claim during review period. Review remittance advices regularly for feedback. Maintain 85% claim approval rate and stay within 10% of normal claim volume to qualify for early removal after 3 months. Contact IHCP Program Integrity Hotline at 855-878-8362 with questions about PPR status.

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