405 Ind. Admin. Code 1-4.2-5

Current through December 12, 2024

Section 405 IAC 1-4.2-5 - Home health care services reimbursement rates

Authority: IC 12-15-21-1; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-15-13-2; IC 12-15-22-1; IC 12-15-34-14.5

Sec. 5.

(a) The staffing and overhead billing units for HHA services are as follows:

Home Health Service	Billing Unit
Overhead	One unit per provider per member per day
Registered Nurse (RN)	Hourly
Licensed Practical Nurse (LPN)	Hourly
Home Health Aide	Hourly
Physical Therapist	15-minute increments
Occupational Therapist	15-minute increments
Speech Pathologist	15-minute increments

(b) For dates of service on or after July 1, 2018, Medicaid reimbursement shall be at the rates effective July 1, 2018.

(c) All fee schedules are available through the agency's website at www.indianamedicaid.com. Except as otherwise noted, state-developed fee schedule rates are the same for both governmental and private providers of home health care.

405 IAC 1-4.2-5

Office of the Secretary of Family and Social Services; 405 IAC 1-4.2-5; filed Jul 18, 1996, 3:00 p.m.: 19 IR 3377; filed Jan 9, 1997, 4:00 p.m.: 20 IR 1119; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; filed Jun 18, 2007, 11:38 a.m.: 20070718-IR-405070031FRA; readopted filed Sep 19, 2007,12:16p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA

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