405 IAC 5-26-5 Prior authorization

Sec. 5. (a) Prior authorization by the office is required for the following: (1) Hospital stays as outlined in 405 IAC 5-17. (2) When a podiatrist prescribes or supplies corrective features built into shoes, such as heels, lifts, and wedges. (b) Medicaid reimbursement is available for the following surgical procedures without prior authorization: (1) Surgical cleansing of the skin. (2) Drainage of skin abscesses. (3) Drainage or injections of a joint or bursa. (4) Trimming of skin lesions. Reimbursement for other surgical procedures performed within the scope of the podiatrist's license is available subject to the prior authorization requirements of 405 IAC 5-3.