Education & Training

Links to important training and educational Materials.

IMPORTANT UPDATES

***Provider Benefit Training***

Acentra Health offers prior authorization process training for Hospice providers and Imaging/Lab providers. Acentra Health is offering December 2025 training sessions, covering the prior authorization (PA) process for Hospice and Imaging/Lab providers that submit PA requests for the fee-for-service (FFS) population.
Providers are encouraged to email specific issues they want to be addressed to Acentra Health at INPriorAuthIssues@acentra.com.
Acentra Health will also be sending an email blast with the same information.

 

Hospice PA Training

Monday, December 15, 2025, 11:00 am – 12:00 pm (ET)
Hospice Training 12.15.25 -11am
Monday, December 15, 2025, 3:30 pm – 4:30 pm (ET)
Hospice Training 12.15.25 -3:30pm
Imaging/Lab PA Training
Thursday, December 18, 2025, 10:30 am – 11:30 am (ET)
Imaging Lab Thursday December 18, 2025, 10:30 - 11:30 am (ET)
Thursday, December 18, 2025, 3:00pm - 4:00pm (ET)
Imaging Lab Thursday December 18, 2025, 3:00 - 4:00 pm (ET)

 

***Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Rule (CMS-0057-F)***

Per Bulletin BT2025165 Effective Jan. 1, 2026, IHCP providers will have updated guidelines regarding PA decisions and additional information submissions. This applies to PA requests for items and services, excluding drugs, as defined in Code of Federal Regulations 42 CFR 421.60(b)(6). Pharmacy PA request decisions are still made within 24 hours of request, in accordance with 42 CFR 1396r-8(c)(5)(A).

Acentra Health will continue to be required to make a PA decision within 7 calendar days of the initial standard PA request. The time may be extended up to an additional 7 calendar days (previously 30 calendar days) if additional information is needed.

For an urgent/expedited PA request, a decision will be required within 72 hours.

No pend (extension) time frame will be allowed for urgent/expedited FFS PA requests.

Learn how to register for Atrezzo

Atrezzo Provider Portal Registration and Help Desk

Atrezzo is a configurable, flexible, fully integrated, web-based solution that provides the capability to manage the healthcare experience of individuals across a continuum of health care services including Utilization Review, Care Management, and Assessments.  Atrezzo’s Provider Portal is an important component of our system and is proven to alleviate the burdensome authorization request processes often required by other systems. Our portal functionality allows providers to submit requests through direct data entry into the portal and upload documents 24-hours a day, 7 days a week, with Atrezzo immediately validating acceptance of the submission and notifying the provider. Atrezzo’s rules engine and embedded workflows guide the provider through the submission.

Contacting the Acentra Health Service desk:

https://acentra.com/service-desk/#self-service-password-reset

Additional State Resources

 

  • Gainwell Technologies serves as the fiscal agent. As such, Gainwell performs claim-processing functions for all IHCP fee-for-service (FFS) billing, except for pharmacy services and brokered nonemergency medical transportation (NEMT). You may contact them for questions/concerns at: 800-457-4584
  • If you are a member and have questions or seek additional information regarding IHCP policies and programs, please visit the Contact Us page on the IHCP member website.
  • If you are a provider and have questions or seek additional information regarding IHCP policies and programs, please visit the Contact Us page on the IHCP provider website or email the OMPP Provider Relations Team at OMPPProviderRelations@fssa.IN.gov.