MedicaidPrior AuthMedium impact
BT202468: IHCP to provide medical coverage during emergency detention order
Indiana Medicaid (IHCP)·IN · Psychiatry, Emergency Medicine·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Summary
Starting July 1, 2024, Indiana Health Coverage Programs (IHCP) will provide automatic medical coverage for Medicaid members during emergency detention orders (EDOs) for up to 14 days without prior authorization requirements. After release from EDO, normal prior authorization processes resume for continued services.
Action Required
By July 1, 2024: Billing team must update procedures for Indiana Medicaid members under emergency detention orders. Flag EDO cases in billing system to bypass prior authorization requirements for services up to 14 days (excluding weekends/holidays) or until final hearing. Train staff to resume normal PA submission process upon member release from EDO. Contact Customer Assistance at 800-457-4584 for questions.