{"data":{"id":"us-in/ic-27-1-37.5-27","jurisdiction":"us-in","citation":"IC 27-1-37.5-27","heading":"Utilization review entity's duty to honor certain authorizations","body":"Sec. 27. (a) A utilization review entity shall honor an authorization that was granted to a covered individual by a previous utilization review entity for at least the initial ninety (90) days of the covered individual's coverage under a new health plan if:\n(1) the utilization review entity receives information documenting the authorization from the covered individual or the covered individual's health care provider; and\n(2) the authorization is for a health care service that is covered under the new health plan.\n(b) During the time period described in subsection (a), a utilization review entity may perform its own review of the prior authorization request.\n(c) If there is a change in:\n(1) coverage of; or\n(2) approval criteria for;\na previously authorized health care service, the change in coverage or approval criteria may not affect a covered individual who received authorization before the effective date of the change for the remainder of the plan year.\n(d) A utilization review entity shall continue to honor an authorization that the utilization review entity granted to a covered individual when the covered individual changes products under the same health insurance company.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 37.5. Health Care Service Prior Authorization"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-37.5-27","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"92711bba161f4251f4b7c778cc9eea55b410fedb2ef821c5ca686f7982d216cf","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-37.5-26","next":"us-in/ic-27-1-37.5-28"},"notice":"GroundRules: Original legal text. Not legal advice."}