Advocacy in Indiana

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State Fact Sheet 
Find out how arthritis affects people in Indiana and what you can do to make a difference. 

State of Your Health 
If you are experiencing a barrier to care, you should contact your insurance commissioner, who can help address your situation. Please be sure to view our Indiana Department of Insurance fact sheet that gives instructions on how to appeal, request an external review or file a complaint with your insurance commissioner. 

What is  prior authorization?   

Many insurers require prior approval before giving you the OK to get an expensive drug.  This process can be long and cumbersome, and often creates a significant administrative burden for both patients and providers.  Further, it can keep patients from accessing the drugs they need to remain healthy.   

How does this new law address prior authorization in  Indiana?  

In 2017, Indiana passed legislation to address prior authorization and that law went into effect in early 2018.  Requires certain health plans to accept and respond to electronic prior authorization requests according to a particular electronic transaction standard.  This bill leverages technology to improve pharmacist efficiency in community and health system pharmacy settings, thus reducing pharmacist time and employee expense in securing prior authorizations from physicians.  

Which patients will benefit from this new law? 

 To learn if you are covered, contact your insurer and provide your policy number.