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

BT202030: IHCP temporarily revises PA process for acute care hospital inpatient admissions

Act
immediately
Effective date
Apr 1, 2020
Identified
Jun 19, 2026

Summary

Indiana Medicaid has temporarily streamlined prior authorization requirements for acute care hospital inpatient admissions during the COVID-19 emergency. Hospitals now only need to submit basic information without clinical documentation, and all requests will be automatically approved for 60 days.

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What to do

immediately · 3 steps
01Hospital billing teams must update PA workflows for Indiana Medicaid inpatient admissions to submit only basic information (provider details, member info, diagnosis codes) within 72 hours of admission.
02Remove clinical documentation requirements from PA requests.
03Note that psychiatric and substance use disorder admissions still require full clinical documentation and are NOT subject to this streamlined process.

Original notice

BT202030: IHCP temporarily revises PA process for acute care hospital inpatient admissions
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT202042: 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 PolicyBT202174: IHCP temporarily reinstates revisions to PA process for acute care hospital non-elective inpatient admissionsHighEffective Aug 30, 2021 · Provider BulletinBrowse 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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