MedicaidPrior AuthHigh impact
BT202042: IHCP COVID-19 Response: IHCP revises policies for certain behavioral health services
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Apr 9, 2020
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) has temporarily relaxed prior authorization and documentation requirements for behavioral health services during COVID-19. Prior auth approvals are now automatic for specified periods, clinical documentation is no longer required with PA submissions, and telemedicine options have been expanded for substance use disorder and psychiatric services.
Action Required
Immediately: Billing team must update PA submission process for Indiana Medicaid behavioral health services. Submit only basic information on PA forms within 72 hours of admission - clinical documentation no longer required with initial submission but must be maintained for post-payment review. Update telemedicine billing procedures to include audio-only services for IOT and PHP when video unavailable. Train staff on new automatic approval periods: 21 days for ASAM 3.1/3.5, 14 days for IOT/PHP, 7 days for inpatient SUD/psychiatric.