What Is a Policy Consideration Request?
The Indiana Health Coverage Programs (IHCP) has a specific process for members, providers or other interested parties who wish to submit requests for policy consideration to the Indiana Office of Medicaid Policy and Planning (OMPP). For example, a policy consideration request may seek to add coverage for specific medical codes or services, revise a provider code set or revise a current medical policy.
The OMPP Policy Consideration Submission Form is not used to submit requests for clarification or general IHCP policy questions:
- If you are a member and have questions or seek additional information regarding IHCP policies and programs, please visit the Contact Us page on the IHCP member website.
- If you are a provider and have questions or seek additional information regarding IHCP policies and programs, please visit the Contact Us page on the IHCP provider website.
- If you are seeking reconsideration of a fee-for-service claim, see the Claim Administrative Review and Appeals provider reference module.
- If you are seeking reconsideration of a fee-for-service prior authorization request, see the Prior Authorization provider reference module.
How Do I Submit a Policy Consideration Request?
To submit a policy consideration request, please go to the OMPP Policy Consideration Submission Form website and complete the online form:
OMPP Policy Consideration Request Form website
With your submission, you will have the option to attach additional information or documentation to support your request. After the form has been submitted, the OMPP will begin the review process.
How Can I Check the Status of My Request?
During the review process, you will receive automatic updates at the email address provided on the request. At any point throughout the process, you can view all submitted requests and the status of each request from the Request Submissions page, available from the View Existing Requests tab of the OMPP Policy Consideration Submission Form website. If you have additional questions about your submission, or want to change the email address to which automatic updates are sent, you may email PolicyConsideration@fssa.in.gov.
After a determination is made on your request, you will receive an email with a determination letter and explanation. If the request is approved, you will be notified that the request is moving through the implementation process. If the request is denied, you will receive an explanation for the denial. A denied request may be submitted for a new consideration following a period of 18 months from the date of the decision or on release of new studies that would support your request.
Note: Approved policy consideration requests will not be applied retroactively.
Where Can I Find More Information?
To access the submission form and find additional information, visit the OMPP Policy Consideration Submission Form website.
If you have questions about this process, please email PolicyConsideration@fssa.in.gov.