TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Emergency Rule
LSA Document #11-187(E)
DIGEST
Temporarily amends the prior authorization requirements for all nonemergent inpatient hospital admissions that are not covered by Medicare. Authority:
IC 4-22-2-37.1(a)(19);
IC 12-15-21-2;
IC 12-15-21-3. Effective March 31, 2011.
(b) Prior authorization is required for all nonemergent inpatient hospital admissions of Medicaid eligible recipients. Nonemergent inpatient hospital admissions include all elective or planned inpatient hospital admissions, and inpatient hospital admissions for which the patient's condition permitted adequate time to schedule the availability of a suitable accommodation. The following are exempt from this requirement:
(1) Inpatient hospital admissions when covered by Medicare.
(2) Routine vaginal and cesarean section deliveries.
(b) In addition to the prior authorization requirements set forth in 405 IAC 5-17-2, prior authorization is also required for the procedures listed in 405 IAC 5-3-13.
Filed with Publisher: March 31, 2011, 10:20 a.m.
Posted: 04/06/2011 by Legislative Services Agency
DIN: 20110406-IR-405110187ERA
Composed: Apr 29,2024 5:01:09AM EDT
A
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