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Posted Sep 30, 20213 min Read
On September 30, 2021, Governor Eric Holcomb issued Executive Order 21-27, which extends most provisions of previous E.O.s 21-17, 21-19, 21-23 and 21-24. This E.O. 21-27 also continues provisions concerning hospital elective procedures and requests of insurers to suspend Prior Authorization requirements for these procedures and to facilitate hospital-to-post acute transfers. Below are the key provisions:
Licensure and Scope
Advance Practice Registered Nurses
An APRN is permitted to provide services in multiple locations as long as they have a collaborative agreement on file. The relevant provisions in IC 25-23-1-19.4 and 848 IAC 5-1-1(a)(7)(F) are suspended.
Hospital Electives and Reporting
E.O. 21-24 also directs hospitals, when necessary, reprioritize or postpone non-emergent procedures or surgeries, and consult the best practices and recommendations from their industry in making this assessment. In addition, hospitals are required to report the following to IDH’s EMResources system:
Insurance Prior Authorization
E.O. 21-24 directs the Commissioner of the Indiana Department of Insurance to request that insurers do the following:
More information on the results of the IDOI request of insurers to waive the PA requirements will come and will impact the hospital-to-post acute transfer process.
COVID-19 Control Measures for Institutions
IDH issued a document concerning COVID-19 Control Measures for institutions such as schools, prisons, child care facilities, and congregate care facilities. The document includes long-term facilities, but other existing guidance to long-term care facilities is more detailed. Still, long-term care facilities should review this document and incorporate as needed to ensure proper reporting and investigation of COVID-19 cases occurs.