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Indiana Medicaid (IHCP)Medicaid · Prior Auth · Medical Policy · INHigh impact

BT202152: IHCP rescinds certain COVID-19 policy changes

Act
by Aug 1, 2021
Effective date
Aug 1, 2021
Identified
Jun 19, 2026

Summary

IHCP is rescinding temporary COVID-19 policy changes that removed or relaxed prior authorization requirements for various services including hospital admissions, DME supplies, home health, behavioral health, and skilled nursing facilities. Starting August 1, 2021, all prior authorization requirements that were in place before March 1, 2020 are being restored.

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What to do

by Aug 1, 2021 · 4 steps
01Billing team must restore all prior authorization workflows that were in place before March 1, 2020 for acute care hospital inpatient admissions, DME/HME supplies and services, home health services, behavioral health services, LTAC and AIR facility admissions, and SNF admissions.
02Update billing system rules to require prior authorizations.
03Train staff on reinstated PA requirements.
04Monitor for additional clarification bulletins before the effective date.

Original notice

BT202152: IHCP rescinds certain COVID-19 policy changes
in.gov · Always check the source before changing claims.
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