MedicaidAdministrativeMedium impact
BT202256: IHCP establishes new Presumptive Eligibility rules for backdating and who can fill out an application
Indiana Medicaid (IHCP)·IN · Emergency Medicine·Provider Bulletin
Effective date
Jul 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has established new Presumptive Eligibility rules allowing backdating when patients arrive within one hour before midnight but cannot be processed until after midnight, and permitting advocates to complete PE applications for nonresponsive patients. These changes are effective retroactively to July 1, 2021.
Action Required
Immediately: Front desk and registration staff should begin using new backdating rules for Presumptive Eligibility applications when patients arrive within one hour of midnight. Staff must also allow advocates (parents, spouses, adult children, caretakers, caseworkers) to complete PE applications for nonresponsive patients. Submit backdate requests to presumptiveeligibility@fssa.in.gov with Member ID, backdate reason, and requested date. For inmates, use indianainmatemedicaid@fssa.in.gov for any backdating needs.