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OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

OFFICE OF MEDICAID POLICY AND PLANNING


Public Notice Regarding Changes in Statewide Methods and Standards for
Setting Payments for Medicaid Enrolled Nursing Facilities

In accordance with the public notice requirements of 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act, the Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to the reimbursement methodology for nursing facilities.

The OMPP proposes to modify the rate setting formula for nursing facilities (codified at 405 IAC 1-14.6) to specify certain additional costs as not allowable for reimbursement, to clarify the individuals considered as immediate family members, to modify the criteria for obtaining a related party exception, to clarify the definition of related parties for nonstate government owned (NSGO) nursing facilities, to revise the "grandfather date" for nursing facility special care unit (SCU) directors, to revise how cost report audits are implemented to comply with Section 126 of P.L. 229-2011, and to require nursing facility administrators to sign any requests for appeal under IC 4-21.5-3.

These changes will be adopted as an emergency rule. 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 the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana.

The proposed changes are available on the Internet at:
http://in.mslc.com

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

Written comments may be directed to IFSSA, Office of Medicaid Policy and Planning, Attention: Joy Heim, 402 West Washington Street, Room W374, MS07, Indianapolis, IN 46207-7083. Correspondence should be identified in the following manner: "COMMENT RE: NOTICE REGARDING CHANGES TO RATE SETTING CRITERIA FOR NURSING FACILITIES, 405 IAC 1-14.6". Written comments will be made available for public inspection at the address herein of the OMPP.

Michael Gargano
Secretary
Office of the Secretary of Family and Social Services

Posted: 05/23/2012 by Legislative Services Agency

DIN: 20120523-IR-405120271ONA
Composed: Jul 29,2014 5:27:53AM EDT
A PDF version of this document.