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IHCP Requirements Revised
PA requirements revised for orthodontic services
The Indiana Health Coverage Programs (IHCP) covers orthodontic procedures for members younger than 21 years of age. All orthodontic services require prior authorization (PA). Effective for dates of service on or after October 11, 2013, dental PA requests for orthodontic services no longer require a signed statement from a member of a hospital-based craniofacial team to certify the correct craniofacial diagnosis and malocclusion. All other PA criteria for orthodontic services remain unchanged. See IHCP Provider Manual Chapter 8
for additional information (PDF document opens in a new window). For PA questions, please contact ADVANTAGE Health Solutions at 1-800-269-5720.
Reprinted from IHCP Banner Page BR201345 NOVEMBER 12, 2013.
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