MedicaidPrior AuthMedium impact
BT202386: IHCP further extends suspension of MCE PA requirements for respiratory assist devices
Indiana Medicaid (IHCP)·IN · Pulmonology, Sleep Medicine, Family Medicine +2 more·Provider Bulletin
Effective date
Aug 1, 2023
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) has extended the suspension of managed care entity prior authorization requirements for continued use of respiratory assist devices through December 31, 2023. While initial PA is still required for new devices, no PA is needed for continuing existing CPAP, BiPAP, oxygen equipment, and related supplies.
Action Required
Through December 31, 2023: Billing team must ensure no prior authorization is required for continuation of existing respiratory assist devices and supplies listed in the bulletin for Indiana Medicaid MCE plans. Continue to obtain initial PA for new devices as required. Providers must document medical necessity attestation and member usage compliance acknowledgment in medical records for all respiratory assist devices.