I am writing to provide a comprehensive list of the documentation required for prior authorization (PA) requests for home health services under Indiana Medicaid, as outlined in the IHCP bulletin dated February 20, 2025. Please ensure that the following items are submitted to the office prior to the expiration of your current Prior Authorization in order to continue utilizing services during the renewal period:

• Parent or primary caregiver (if applicable) work calendars with employment confirmation letters (on letterhead with days and times working and signed by employer).

• Member school calendars.

• Information on all other supportive services and therapies the member is receiving, including but not limited to:

• Medicaid waiver services such as Structured Family Caregiving, Attendant Care hours, Assisted Living.

• Skilled nursing hours, physical or occupational therapy.

• Other shift/hour services such as applied behavior analysis (ABA) therapy.

• If the agency staff providing home health services are also the parent or legally responsible individual for the member.

• Physician face-to-face medical necessity attestation required for ongoing home health services within the previous 30 days of the request for a new authorization or expiration of the current authorization.  You must have a face-to-face visit with the physician 30 days prior to your new prior authorization start date.

These requirements are in addition to the current guidelines listed in the Home Health PA Documentation section of the Home Health Services provider reference module.

If you have any questions or need further clarification, give us a call at 317-575-3983 or submit a help ticket to support@comforcare.zohodesk.com.  

Thank you for your attention to this matter.

Sarah Swift

Director of Clinical Services