Make an Impact: Shape Indiana’s Medicaid Policies

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Make an Impact with Your Policy Consideration Requests

As a member, provider, or other interested party, you have the power to make a difference by submitting Policy Consideration requests to the Indiana Health Coverage Programs (IHCP). This process allows you to advocate for changes in policies that affect the healthcare system and the services you or those you care for receive. Whether you're requesting the addition of specific medical codes or services, revising a provider code set, or seeking changes to an existing medical policy, your voice matters.

What is a Policy Consideration Request?

A Policy Consideration request is a formal way to ask for changes or additions to existing policies that directly impact services and care. Some examples of what you can submit requests for include:

• Adding coverage for certain medical codes or services

• Revising provider code sets

• Revising current medical policies

This process isn’t intended for general questions about IHCP policies. 

How Can You Submit Your Request?

Submitting a Policy Consideration request is easy. Just fill out the form HERE and attach any supporting documents or information that can help clarify your request. Once your form is submitted, the Office of Medicaid Policy and Planning (OMPP) will begin reviewing it.

What Happens After You Submit Your Request?

After you submit your request, it will go through a review process. Here’s what to expect:

• Ongoing Review: Requests are reviewed based on the agency’s priorities and workflow. Reviews are not conducted during December and January.

• Notification: Once a decision is made, you will receive an email with a determination letter. If your request is approved, it will move into the implementation process. If denied, you’ll receive an explanation and can resubmit a new request after 18 months or with new supporting studies.

Note: Approved requests won’t be applied retroactively.

How to Check the Status of Your Request

You can track the status of your request throughout the process. Here’s how:

1. Automatic Updates: During the review process, you will receive automatic email updates.

2. Status Checks: At any time, you can check the status of your request by clicking on "View Existing Requests." You can search using keywords or your Policy Request Number, which will be provided after your submission.

Status Definitions

• Submitted: Your request is in the queue, awaiting assignment.

• Research: Your request is being researched, and the timeline depends on its complexity.

• In Review: Research is complete, and your request is under final review.

• Approved: Your request has been approved, and implementation will begin (no retroactive changes).

• Denied: Your request was denied, but you can resubmit after 18 months or with new studies.

• On Hold: Your request is on hold due to competing priorities or external factors.

• Inquiry: Your request is determined to be an inquiry, not a Policy Consideration, and will be redirected to the appropriate team.

How to Make Your Request Count

By submitting a Policy Consideration request, you contribute to improving the system and the care available to all. Whether you're advocating for better coverage or pushing for more equitable access to services, your input can directly impact the policies that shape healthcare.

For further questions or status updates contact PolicyConsideration@fssa.in.gov .

Start making a difference today!  Submit your Policy Consideration Requests HERE!