Indiana Medicaid and Prior Authorization

Submitted by: George Parker, MD

Indiana Medicaid and its contractors use a set of prior authorization criteria to ensure safe and effective use of psychiatric medications.

These criteria, which apply to the use of antipsychotic, antidepressant and medications, were developed by the Mental Health Quality Advisory Committee. This committee is composed of representatives from Indiana Medicaid, the Indiana Division of Mental Health and Addiction, and Mental Health America, along with a community psychiatrist and three pharmacists, one of whom is a Pharm.D. who is expert in mental health medications. The prior authorization criteria are public documents and are maintained on an accessible website: www.indianapbm.com/automatedrxpa.htm.