MedicaidAdministrativeMedium impact
BT202301: Kepro to serve as new fee-for-service IHCP prior authorization and utilization management vendor
Indiana Medicaid (IHCP)·IN·Prior Authorization
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Kepro will replace Gainwell Technologies as the new prior authorization and utilization management vendor for Indiana Health Coverage Programs fee-for-service effective July 1, 2023. This vendor change affects all prior authorization processes, Right Choices Program, and Traumatic Brain Injury program responsibilities.
Action Required
Before July 1, 2023: Billing and prior authorization staff must prepare for transition to new PA-UM vendor Kepro. Monitor IHCP communications for training schedules, new contact information, and updated submission processes. Update internal documentation with new vendor contact details when provided.