470 Ind. Admin. Code 3.1-12-2

Current through December 12, 2024
Section 470 IAC 3.1-12-2 - Funding sources

Authority: IC 12-13-2-3; IC 12-13-5-3

Affected: IC 12-17-15

Sec. 2.

(a) The individualized services specified in 470 IAC 3.1-4-2, provided to eligible infants and toddlers and their families, shall be financed through multiple funding sources. Sources that may be available to finance individualized services, as appropriate, may include, but are not limited to, the following:
(1) Title XIX of the Social Security Act (Medicaid).
(2) Third party payors, including private health insurers.
(3) Any medical program administered by the Secretary of the United States Department of Defense.
(4) Cost participation by the parent of an eligible child that receives early intervention services, pursuant to and in accordance with IC 12-17-15 -17(b) through IC 12-17-15-17(e)[IC 12-17-15 was repealed by P.L. 93-2006, SECTION 19, effective March 20, 2006.].
(b) All infants and toddlers and their families who are eligible for early intervention services through Medicaid and Children's Special Health Care Services must apply for Medicaid and Children's Special Health Care Services.
(c) Third party payors, such as health insurance companies, may be billed for the costs of appropriate early intervention services.
(d) Notwithstanding subsections (a)(4), (b), (c), and sections 3 and 7 of this rule, the provision of early intervention services may not be denied or delayed due to disputes between service providers or other agencies regarding financial responsibility to pay for early intervention services, nor because of the inability of the parent of an eligible child to pay for services, under a cost participation plan.
(e) Nothing in this article shall be construed as restricting any service provider from providing services to any person regardless of eligibility status; however, no service provider may utilize any early intervention system funding source for services provided to any ineligible child or family or file claims for reimbursement from the early intervention system for services rendered to such child or family.

470 IAC 3.1-12-2

Division of Family Resources; 470 IAC 3.1-12-2; filed Jan 29, 1996, 5:15 p.m.: 19 IR 1345; filed Mar 9, 1999, 2:05 p.m.: 22 IR 2266; readopted filed Jul 12, 2001, 1:40 p.m.: 24 IR 4235; filed Feb 10, 2003, 3:22 p.m.: 26 IR 2320; filed Feb 16, 2006, 8:25 a.m.: 29 IR 2185; readopted filed Oct 24, 2007, 11:25 a.m.: 20071121-IR-470070448RFA; readopted filed Aug 23, 2013, 3:36 p.m.: 20130918-IR-470130306RFA
Readopted filed 11/13/2019, 11:56 a.m.: 20191211-IR-470190490RFA