MedicaidPrior AuthMedium impact
BT2024104: IHCP provides further guidance on the emergency detention order prior authorization process
Indiana Medicaid (IHCP)·IN · Psychiatry, Emergency Medicine·Prior Authorization
Effective date
Jul 2, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has updated the prior authorization requirements for emergency detention orders (EDO), specifying that providers must submit State Form 52744 with physician signature, EDO commitment paperwork including court orders, and clinical information when requesting prior authorization for members under emergency detention.
Action Required
Immediately: Billing and prior authorization staff must update EDO prior authorization workflows to include three required documents: 1) State Form 52744 (Application for Emergency Detention) with physician signature from in.gov/medicaid/providers Forms page, 2) EDO commitment paperwork with court orders and hearing/discharge dates, and 3) clinical information. Contact member's MCE for questions or Acentra Health at 866-725-9991 for FFS Medicaid members.