MedicaidPrior AuthMedium impact
BT202047: IHCP COVID-19 Response: IHCP revises managed care health plan PA policies for SNF admissions
Indiana Medicaid (IHCP)·IN · Internal Medicine, Family Medicine, Geriatrics·Managed Care
Effective date
Apr 21, 2020
We identified it
Jun 19, 2026
Summary
IHCP temporarily streamlines skilled nursing facility (SNF) prior authorization requirements for managed care plans during COVID-19 emergency. Initial admissions require only basic demographic information, with automatic 14-day approvals and 72-hour submission deadline.
Action Required
Within 72 hours of SNF admission: Submit simplified PA requests using only basic patient/provider information (no clinical documentation required for initial admission). Billing team must ensure PASRR Level I and II assessments establish level of care early to prevent claim denials. For services beyond 14 days, submit new authorization with full clinical documentation.