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Indiana Medicaid (IHCP)Medicaid · Prior Auth · Specialty Services · IN · PsychiatryHigh impact

BT202042: IHCP COVID-19 Response: IHCP revises policies for certain behavioral health services

Act
immediately
Effective date
Apr 9, 2020
Identified
Jun 19, 2026

Summary

IHCP (Indiana Medicaid) has temporarily relaxed prior authorization and documentation requirements for behavioral health services during COVID-19. Prior auth approvals are now automatic for specified periods, clinical documentation is no longer required with PA submissions, and telemedicine options have been expanded for substance use disorder and psychiatric services.

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What to do

immediately · 4 steps
01Billing team must update PA submission process for Indiana Medicaid behavioral health services.
02Submit only basic information on PA forms within 72 hours of admission - clinical documentation no longer required with initial submission but must be maintained for post-payment review.
03Update telemedicine billing procedures to include audio-only services for IOT and PHP when video unavailable.
04Train staff on new automatic approval periods: 21 days for ASAM 3.1/3.5, 14 days for IOT/PHP, 7 days for inpatient SUD/psychiatric.

Original notice

BT202042: IHCP COVID-19 Response: IHCP revises policies for certain behavioral health services
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 BulletinBT202040: IHCP COVID-19 Response: IHCP revises home health prior authorization and telemedicine policiesMediumEffective Apr 8, 2020 · Prior AuthorizationBT202174: IHCP temporarily reinstates revisions to PA process for acute care hospital non-elective inpatient admissionsHighEffective Aug 30, 2021 · Provider BulletinBT202179: IHCP COVID-19 Response: IHCP reinstates inpatient SUD and psychiatric admission policy changesMediumEffective Sep 8, 2021 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list

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Indiana Medicaid (IHCP) policiesIN policy changesPsychiatry

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