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
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.
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