MedicaidPrior AuthMedium impact
BT202669: IHCP reminds home health agencies of best practices for PA submissions
Indiana Medicaid (IHCP)·IN · Home Health·Specialty Services
Effective date
May 7, 2026
We identified it
Jun 18, 2026
Summary
The Indiana Health Coverage Programs (IHCP) has issued updated best practices for home health agencies submitting prior authorization requests. The policy provides detailed requirements for documentation including household information, existing services, medical necessity justification, and coordination with other providers.
Action Required
Immediately: Home health agencies must update their prior authorization submission processes to include all required documentation elements: household member lists, existing services inventory, family caregiver hours, work/school letters for adults, medical necessity documentation, and coordination with other agencies. Update PA request templates and staff training to ensure compliance with IHCP requirements.