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Indiana pauses prior auths for CPAP, BiPAP

Indiana pauses prior auths for CPAP, BiPAP

INDIANAPOLIS – The Indiana Health Coverage Programs (IHCP) has temporarily paused prior authorizations for continued use of respiratory assist devices, including CPAP and BiPAP, obtained through managed care programs, effective Aug. 1, 2022, to Jan. 31, 2023. The change is in response to continued impacts from a recall on Philips respiratory products. AAHomecare worked with the Great Lakes HME Association’s Medicaid committee and IHCP to make the case for pausing compliance requirements for continued use authorizations until PAP manufacturers can better meet demands for these products. Great Lakes leaders will seek an extension of the pause if it becomes clear that computer chip shortages and other supply chain constraints will still be limiting production of PAP devices—especially those with cellular compliance-tracking features—well into 2023.

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