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Indiana Medicaid (IHCP)Medicaid · Prior Auth · Provider Bulletin · IN · Emergency Medicine, Critical CareHigh impact

BT202174: IHCP temporarily reinstates revisions to PA process for acute care hospital non-elective inpatient admissions

Act
immediately
Effective date
Aug 30, 2021
Identified
Jun 19, 2026

Summary

Indiana Medicaid (IHCP) has temporarily reinstated a streamlined prior authorization process for acute care hospital non-elective inpatient admissions due to increased COVID-19 cases. Hospitals only need to submit basic information without clinical documentation, and authorizations will be automatically approved for 60 days.

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What to do

immediately · 4 steps
01Hospital billing teams must submit PA requests within 72 hours of member admission using only basic information on the IHCP Prior Authorization Request Form (no clinical documentation required).
02Submit through MCE provider portal, IHCP Portal, or paper form.
03Ensure all required fields are completed: provider number/tax ID/address, member ID/name/DOB, start/stop dates, procedure/revenue codes, ICD diagnosis codes, preparer info, units, and signature.
04Note: This does NOT apply to psychiatric/SUD admissions or elective services which still require full clinical documentation.

Original notice

BT202174: IHCP temporarily reinstates revisions to PA process for acute care hospital non-elective inpatient admissions
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT202030: IHCP temporarily revises PA process for acute care hospital inpatient admissionsHighEffective Apr 1, 2020 · Provider BulletinBT202042: IHCP COVID-19 Response: IHCP revises policies for certain behavioral health servicesHighEffective Apr 9, 2020 · Specialty ServicesBT202046: IHCP COVID-19 Response: IHCP temporarily revises PA policy for LTAC and AIR facility admissionsMediumEffective Apr 21, 2020 · Medical PolicyBT202096: IHCP COVID-19 Response: IHCP clarifies policy on PA process for acute care hospital inpatient admissionsHighEffective Aug 27, 2020 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list

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Indiana Medicaid (IHCP) policiesIN policy changesEmergency MedicineCritical Care

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