MedicaidPrior AuthHigh impact
BT202152: IHCP rescinds certain COVID-19 policy changes
Indiana Medicaid (IHCP)·IN·Medical Policy
Effective date
Aug 1, 2021
We identified it
Jun 19, 2026
Summary
IHCP is rescinding temporary COVID-19 policy changes that removed or relaxed prior authorization requirements for various services including hospital admissions, DME supplies, home health, behavioral health, and skilled nursing facilities. Starting August 1, 2021, all prior authorization requirements that were in place before March 1, 2020 are being restored.
Action Required
By August 1, 2021: Billing team must restore all prior authorization workflows that were in place before March 1, 2020 for acute care hospital inpatient admissions, DME/HME supplies and services, home health services, behavioral health services, LTAC and AIR facility admissions, and SNF admissions. Update billing system rules to require prior authorizations. Train staff on reinstated PA requirements. Monitor for additional clarification bulletins before the effective date.