MedicaidPrior AuthMedium impact
BT202217: IHCP updates PA policy for AED and WCD devices
Indiana Medicaid (IHCP)·IN · Cardiology, Internal Medicine, Family Medicine +2 more·Medical Policy
Effective date
Mar 1, 2022
We identified it
Jun 19, 2026
Summary
Effective March 1, 2022, Indiana Medicaid (IHCP) updated prior authorization requirements for automatic external defibrillators (AEDs) and wearable cardioverter defibrillators (WCDs). These devices still require prior authorization but will now be considered medically necessary when determined by nationally recognized care guidelines.
Action Required
Billing team must update prior authorization processes for HCPCS codes E0617 and K0606 to reference nationally recognized care guidelines when submitting requests to Indiana Medicaid. For managed care patients, contact the specific MCE for their requirements. Ensure documentation includes reference to applicable nationally recognized care guidelines to support medical necessity.