Section 405 IAC 1-1.4-1 - ScopeAuthority: IC 12-8-6.5-5; IC 12-15-1-10; IC 12-15-21-3
Affected: IC 12-13-7-3; IC 12-15
Sec. 1.
(a) This rule outlines the program integrity requirements and appeal procedures relating to all claims paid by Medicaid for services rendered and the actions available against providers.(b) This rule does not govern determinations by the office with respect to the authorization or approval of Medicaid services requested by a provider on behalf of a member.Office of the Secretary of Family and Social Services; 405 IAC 1-1.4-1; filed 12/21/2018, 3:17 p.m.: 20190116-IR-405180251FRAReadopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA