MedicaidPrior AuthMedium impact
BT202012: IHCP revises policy for augmentative and alternative communication devices
Indiana Medicaid (IHCP)·IN · Neurology, Pediatrics, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
Effective date
Mar 25, 2020
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) revised policy for augmentative and alternative communication (AAC) devices effective March 25, 2020, requiring prior authorization with specific documentation including speech-language pathologist evaluation and medical necessity justification. The policy clarifies that lack of previous AAC device usage cannot be used as grounds for denial.
Action Required
For providers serving Indiana Medicaid patients needing AAC devices: Ensure prior authorization requests include medical necessity documentation, speech-language pathologist clinical evaluation, documentation of all suitable communication devices, and recommendation for least expensive option. Verify patient meets all four criteria: sufficient mental/physical capabilities, inability to communicate effectively without device, expected 2+ year need, and device compensates for communication loss/impairment.