Gold Card StatePA Reform EnactedTransparency Requirements

Indiana Prior Authorization Requirements

A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Indiana (IN).

PA Turnaround Times

Standard Requests

14 calendar days

Urgent / Expedited

72 hours

Gold Card Law

Indiana enacted gold card legislation allowing providers with a demonstrated high PA approval rate to receive PA exemptions for certain services from participating payers.

PA Reform Legislation

Indiana has enacted comprehensive PA reform including gold card provisions and turnaround time mandates.

Key Regulations

  • Gold card exemption program for high-performing providers
  • Standard PA turnaround of 14 calendar days
  • Urgent requests within 72 hours
  • PA criteria must be publicly available

Indiana Medicaid PA

Indiana Medicaid (Hoosier Healthwise, HIP) uses managed care. PA is administered by MCOs.

Recent Changes (2025-2026)

  • Gold card legislation implementation
  • Additional transparency requirements for payers

Top Payers in Indiana

Anthem Blue Cross Blue ShieldUnitedHealthcareCignaMDwise

State Regulatory Body: Indiana Department of Insurance

File PA complaints or appeals through your state insurance department.

Automate PA in Indiana

Greenlight knows every payer's PA requirements in Indiana and checks them automatically before every appointment -- so your staff does not have to.

See a Demo