MedicaidPrior AuthHigh impact
BT202182: IHCP COVID-19 Response: IHCP temporarily reinstates PA policy for LTAC and AIR facility admissions
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Critical Care·Medical Policy
Effective date
Sep 8, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) has temporarily reinstated simplified prior authorization requirements for Long-Term Acute Care (LTAC) and Acute Inpatient Rehabilitation (AIR) facility admissions due to COVID-19 surge. Providers must submit basic PA information within 72 hours of admission, with initial 14-day approvals requiring only administrative data (no clinical documentation initially required).
Action Required
Immediately: Billing team must update PA submission process for LTAC and AIR admissions. Submit universal PA forms within 72 hours of member admission with basic administrative information only (no clinical documentation required initially). Authorizations valid for 14 days only - submit new PA with full clinical documentation for extensions beyond 14 days. Update workflows to ensure timely submission to avoid claim denials.