In accordance with public notice requirements of 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of the proposed reimbursement methodology for Medicaid services provided by enrolled freestanding birthing centers.

The OMPP proposes to add 405 IAC 5-16.5 to reimburse freestanding birthing center services. This rule is necessary for the state to be compliant with Section 2301 of the Affordable Care Act.

It is estimated that the fiscal impact for this added provider will result in an estimated decrease in state and federal expenditures of approximately $30,000 for State Fiscal Year 2012 and $50,000 for State Fiscal Year 2013.

The proposed addition of this new reimbursable service will be addressed in a proposed rule LSA Document #12-4. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county division of family resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana.

The proposed addition of this new reimbursable service and proposed rates are available on the Internet at:

Interested parties without Internet access should contact Myers and Stauffer, LC at (800) 877-6927 to obtain copies of the proposed addition of this new reimbursable service and proposed rates.

Anyone who wishes to comment on this matter may submit written comments to: IFSSA, Office of Medicaid Policy and Planning, Attention: Jennifer Porter, 402 West Washington Street, Room W374, P.O. Box 7083, Indianapolis, IN 46207-7083. Correspondence should be identified in the following manner: COMMENT RE: FREESTANDING BIRTHING CENTERS. Written comments received will be made available for public display at the address herein of the OMPP.

Michael A. Gargano

Secretary

Family and Social Services Administration