Great News for Indiana Suppliers

Published in Government Relations on August 01, 2022

State UpdateIndiana Medicaid Temporarily Suspends MCE PA Requirements for Respiratory Assist Devices

As reported by Great Lakes below,

We have good news to report! The Indiana Family and Social Services Administration (FSSA) published BT202260 yesterday 7/28/2022 which announced a positive change to address an issue that the Great Lakes Indiana Medicaid Workgroup has been raising with FSSA Provider Relations staff.

The IHCP bulletin states “Effective Aug. 1, 2022, through Jan. 31, 2023, the Indiana Health Coverage Programs (IHCP) is temporarily removing managed care entity (MCE) prior authorization (PA) requirements for continued use of respiratory assist devices, including continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP) devices. The PA suspension is for a continuation of coverage only and not the initiation of services.” Read the bulletin for full details.

We are grateful for the agency’s action to recognize today’s challenges in providing these respiratory devices. According to our contact at FSSA, Indiana Medicaid will reevaluate this policy change at that the end of this suspension period. Thank you to the Great Lakes Medicaid workgroup for their engagement on this issue including Kathy Murzyn at Fairmeadows for her leadership. 

If you have any questions, please contact Kam Yuricich (kam@greatlakeshme.org) at Great Lakes or Ronda Buhrmester (Ronda.Buhrmester@vgm.com) at VGM.


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