405 Ind. Admin. Code 1-4.2-1

Current through December 12, 2024
Section 405 IAC 1-4.2-1 - Policy; scope

Authority: IC 12-15-21-1; IC 12-15-21-3

Affected: IC 12-15-13-2

Sec. 1.

(a) This rule provides general information regarding the criteria for providing home health services to Medicaid members and sets forth the criteria for reimbursement for services rendered to Medicaid members by home health agencies. The information and procedures contained in this rule apply to home health agencies. Continued participation in Medicaid and payment for services are contingent upon maintenance of state licensure and compliance with the Medicaid provider agreement.
(b) In accordance with federal law, reimbursement for home health services will be consistent with efficiency, economy, and quality of care and sufficient to enlist enough providers so that care and services are available to Medicaid members at least to the extent that such care and services are available to the general population in the geographic area.

405 IAC 1-4.2-1

Office of the Secretary of Family and Social Services; 405 IAC 1-4.2-1; filed Jul 18, 1996, 3:00 p.m.: 19 IR 3375; filed Oct 8, 1998, 12:23 p.m.: 22 IR 433; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA
Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA
Errata filed 10/6/2016, 2:59 p.m.: 20161019-IR-405160452ACA
Filed 12/21/2018, 3:11 p.m.: 20190116-IR-405180269FRA
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA