Clinical Services

The Indiana Health Coverage Programs (IHCP) offers information to help providers better serve IHCP members. Guidance focuses on clinical services, particularly for certain provider types and specialties.

• Medical Review Team (MRT)
• Preadmission Screening and Resident Review (PASRR)
• Prior Authorization
• Hospice
  • Hospice Forms
  • Hospice Contacts
• Long-Term Care
  • Medicaid Recovery Audit Contractor (RAC) Overview
• Medicaid Rehabilitation Option (MRO)
• Substance Use Disorder (SUD)/Serious Mental Illness (SMI) Treatment
• Nonemergency Medical Transportation
• Notification of Pregnancy (NOP)
• Pharmacy Benefits
  • Pharmacy Services
• Preferred Diabetes Supply List
• Right Choices Program (RCP)