MedicaidPrior AuthMedium impact
BT202201: Pharmacy updates approved by Drug Utilization Review Board December 2021
Indiana Medicaid (IHCP)·IN·Prior Authorization
Effective date
Feb 10, 2022
We identified it
Jun 19, 2026
Summary
Indiana Medicaid has updated prior authorization requirements for opiates (effective April 1, 2022) and established new PA requirements for Aduhelm and non-preferred drug list agents (effective February 10, 2022). These changes affect the automated SilentAuth system and require updated PA criteria for pharmacy benefits.
Action Required
By February 10, 2022: Billing and pharmacy teams must review updated prior authorization criteria for Aduhelm and non-preferred drug list agents on the OptumRx Indiana Medicaid website. By April 1, 2022: Update procedures for opiate prior authorizations to comply with new SilentAuth automated PA criteria. Contact OptumRx Clinical Help Desk at 855-577-6317 for FFS PA requests and questions.