The Indiana Office of Medicaid Policy and Planning (“OMPP”) has released a revised prior authorization policy for early refills of prescriptions. The change will be effective December 1, 2011 and requires that at least 85% of a prescription claim’s days transpire before subsequent claims or prior authorizations can be approved. This is a change from the current policy, which requires at least 75% of a prescription claim’s days transpire before the approval of subsequent claims or prior authorizations.
If this change will result in any hardship to your residents or your operations, please contact us quickly so we can present your issues to the OMPP Director prior to the effective date of this change. You may reach Todd J. Selby at (317) 977-1440 or tselby@wp.hallrender.com; Brian D. Jent at(317) 977-1402 or bjent@wp.hallrender.com; or David W. Bufford at (502) 568-9368 or dbufford@wp.hallrender.com.
