MedicaidPrior AuthMedium impact
BT202181: IHCP COVID-19 Response: IHCP reinstates temporary PA changes for managed care SNF admissions
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine·Managed Care
Effective date
Sep 8, 2021
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has reinstated temporary COVID-19 related changes that streamline prior authorization requirements for skilled nursing facility (SNF) admissions under managed care plans. Clinical documentation is not required for initial 14-day authorizations, but providers must still submit basic PA forms within 72 hours of admission.
Action Required
Within 72 hours of SNF admission: Billing team must submit simplified PA forms with basic information only (no clinical documentation required) through MCE provider portals for Indiana Medicaid managed care members. Before day 14: Submit new fully completed authorization with clinical documentation for continuation beyond 14 days. Ensure PASRR assessments are completed early to establish level of care to prevent claim denials.