Effective April 1, 2020, the Inpatient Hospital Review Program (IHRP) was suspended due to the Public Health Emergency related to COVID-19 pandemic.
The following information remains in effect: Inpatient claims in which the admit date occurs on or after April 1, 2020, will not require an IHRP prior authorization, concurrent or complex case review, or Neonatal Intensive Care Unit (NICU) admission review until further notice.
Please note the only requests requiring prior authorization related to Inpatient stays are the following:
1. Transplant Requests
2. Requests with admit dates preceding 4/1/20
3. Out of State inpatient requests