Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 5 - MEDICAID SERVICES
Rule 405 IAC 5-3 - Prior Authorization
Section 405 IAC 5-3-14 - Prior authorization decision; time limit

405 Ind. Admin. Code 5-3-14

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Current through January 8, 2025
Section 405 IAC 5-3-14 - Prior authorization decision; time limit

Authority: IC 12-15

Affected: IC 12-15-30-1

Sec. 14.

Decisions by the office regarding prior authorization will be made as expeditiously as possible considering the circumstances of each request. If no decision is made by the office for a completed prior authorization request within seven (7) calendar days of receipt of all documentation specified in sections 5 and 9(1) of this rule, authorization is deemed to be granted within the coverage and limitations specified in this article.

405 IAC 5-3-14

Office ofthe Secretary of Family and Social Services; 405 IAC 5-3-14; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3306; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; filed Jun 16, 2011, 8:50 a.m.: 20110713-IR-405100195FRA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127- IR-405130241RFA
Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA
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