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OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

Notice of Changes in Methods and Standards for Medicaid Payments for Dental Services and Services
Provided by Chiropractors, Podiatrists, Speech/Hearing Therapists, Audiologists, Optometrists,
Opticians, Independent Laboratory Providers, and Independent Radiology Providers


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 proposed changes to the reimbursement methodology for Medicaid payments for services provided by enrolled dental providers, chiropractors, podiatrists, speech/hearing therapists, audiologists, optometrists, opticians, independent laboratory providers, and independent radiology providers.

The OMPP proposes to continue the five percent (5%) reduction that is currently set to expire on June 30, 2013, for rates paid to dental providers that bill using current dental terminology (CDT) codes, chiropractors, podiatrists, under the Medicaid state plan, and state regulations at 405 IAC 1-11.5, and for rates paid to speech/hearing therapists, audiologists, optometrists, opticians, independent laboratory providers, and independent radiology providers, under the Medicaid state plan and state regulations at 405 IAC 5-18, 405 IAC 5-22, 405 IAC 5-23, and 405 IAC 5-27, as amended by LSA Document #11-379(E), posted at 20110629-IR-405110379ERA. This five percent (5%) reduction will remain in effect through December 31, 2013.

The reduction in reimbursement is necessary in order to remain within the available Medicaid appropriation. It is estimated that the fiscal impact of these changes will be annual savings of state and federal expenditures of approximately $3.6 million for FFY 2014 (federal share of $2.4 million and state share of $1.2 million).

A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county office of the division of family resources, except in Marion County, where public inspection may be made at the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana.

There will be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Yvonne Burke, Indiana Government Center South, 402 West Washington Street, Room W374, MS07, Indianapolis, IN 46207-7083. Correspondence should be identified in the following manner: COMMENT RE: DENTAL, CHIROPRACTIC, PODIATRY, THERAPY, AUDIOLOGY, VISION, INDEPENDENT LABORATORY, AND INDEPENDENT RADIOLOGY REIMBURSEMENT CHANGES. Written comments will be made available for public inspection at the address herein of the OMPP.

Debra F. Minott
Secretary
Family and Social Services Administration

Posted: 06/12/2013 by Legislative Services Agency

DIN: 20130612-IR-405130231ONA
Composed: Jul 31,2014 3:34:03AM EDT
A PDF version of this document.