405 Ind. Admin. Code 5-3-10

Current through January 8, 2025

Section 405 IAC 5-3-10 - Providers who may submit prior authorization requests

Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-15-30-1

Sec. 10.

Except as otherwise provided in this title, prior authorization requests may be submitted by any of the following:

(1) Doctor of medicine.

(2) Doctor of osteopathy.

(3) Dentist.

(4) Optometrist.

(5) Podiatrist.

(6) Chiropractor.

(7) Psychologist endorsed as a health service provider in psychology (HSPP).

(8) Home health agency.

(9) Hospitals.

(10) For drugs subject to prior authorization, any provider with prescriptive authority under Indiana law.

Requests from other provider types will not be accepted except for transportation services.

405 IAC 5-3-10

Office of the Secretary of Family and Social Services; 405 IAC 5-3-10; filed Jul 25, 1997, 4:00p.m.: 20 IR 3305; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; filed Jan 7, 2002, 10:11 a.m.: 25 IR 1613; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA

Errata filed 11/1/2016, 9:36 a.m.: 20161109-IR-405160493ACA

Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA

Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA