MedicaidPrior AuthHigh impact
BT202215: IHCP rescinds certain temporary COVID-19 policy changes
Indiana Medicaid (IHCP)·IN·Medical Policy
Effective date
Apr 1, 2022
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) is ending multiple temporary COVID-19 policy changes effective April 1, 2022. This rescinds relaxed prior authorization requirements for hospital admissions, substance abuse/psychiatric admissions, DME/HME supplies, skilled nursing facilities, and long-term acute care facilities that were temporarily implemented during the pandemic.
Action Required
By April 1, 2022: Billing and authorization teams must reinstate pre-COVID prior authorization processes for acute care hospital non-elective admissions, inpatient SUD and psychiatric admissions, DME/HME supplies and services, managed care SNF admissions, and LTAC/AIR facility admissions. Review IHCP provider reference modules for original authorization requirements. Update workflows to ensure proper prior authorizations are obtained before these services, as claims may be denied without proper authorization.