MedicaidPrior AuthMedium impact
BT2023104: IHCP reminds hospice providers of FFS prior authorization update requirements
Indiana Medicaid (IHCP)·IN · Palliative Care·Prior Authorization
We identified it
Jun 19, 2026
Summary
Indiana Medicaid reminds hospice providers that changes to currently approved prior authorizations require specific documentation, particularly the Hospice Provider Change Request form (State Form 48733) when switching hospice providers during a benefit period. Original and new providers must coordinate discharge/admission dates to ensure continuous coverage without overlap.
Action Required
Immediately: Hospice billing teams must ensure State Form 48733 (Hospice Provider Change Request Between Indiana Hospice Providers) is submitted to Kepro PA-UM contractor for any hospice provider changes during benefit periods. Forms can be submitted through Kepro's Atrezzo Provider Portal, fax, or mail - indicate this is an 'authorization revision' to original approved hospice authorization. Coordinate with original/new providers on exact discharge/admission dates before transfer. Contact Kepro Customer Service at 866-725-9991 for assistance. Failure to submit proper documentation may result in claim processing delays or denials.