MedicaidPrior AuthHigh impact
BT202030: IHCP temporarily revises PA process for acute care hospital inpatient admissions
Indiana Medicaid (IHCP)·IN · Emergency Medicine, Critical Care·Provider Bulletin
Effective date
Apr 1, 2020
We identified it
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.
Action Required
Immediately: Hospital 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. Remove clinical documentation requirements from PA requests. Note that psychiatric and substance use disorder admissions still require full clinical documentation and are NOT subject to this streamlined process.