MedicaidPrior AuthMedium impact
BT202221: IHCP clarifies prior authorization for certain DME or HME supplies and services
Indiana Medicaid (IHCP)·IN · Pulmonology, Sleep Medicine, Family Medicine +1 more·Prior Authorization
Effective date
Apr 1, 2022
We identified it
Jun 19, 2026
Summary
IHCP clarifies prior authorization requirements for DME/HME supplies, allowing physician signatures from the last 12 months for continuation of respiratory services and eliminating face-to-face visit requirements for existing services. Repairs and replacements still require prior authorization.
Action Required
By April 1, 2022: Update prior authorization processes to accept physician signatures within 12 months for continuation of respiratory DME/HME services listed in Table 1. Note 'continuation of services' on PA request forms when applicable. Continue requiring PA for all repairs and replacements of previously approved DME/HME equipment.