-IR- Database Guide
-IR- Database: Indiana Register

TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

Readopted Final Rule
LSA Document #13-241(F)

DIGEST

Readopts rules in anticipation of IC 4-22-2.5-2, providing that an administrative rule adopted under IC 4-22-2 expires January 1 of the seventh year after the year in which the rule takes effect unless the rule contains an earlier expiration date. Effective 30 days after filing with the Publisher.

405 IAC 1-1; 405 IAC 1-1.5; 405 IAC 1-1.6; 405 IAC 1-3; 405 IAC 1-4.2; 405 IAC 1-4.3; 405 IAC 1-5; 405 IAC 1-8; 405 IAC 1-10.5; 405 IAC 1-11.5; 405 IAC 1-12; 405 IAC 1-13; 405 IAC 1-14.5; 405 IAC 14.6; 405 IAC 1-15; 405 IAC 1-16; 405 IAC 1-17; 405 IAC 1-18; 405 IAC 1-19; 405 IAC 1-20; 405 IAC 1-21; 405 IAC 1.1-1; 405 IAC 1.1-2; 405 IAC 1.1-3; 405 IAC 2-1; 405 IAC 2-2; 405 IAC 2-3; 405 IAC 2-3.2; 405 IAC 2-4; 405 IAC 2-5; 405 IAC 2-6; 405 IAC 2-7; 405 IAC 2-8; 405 IAC 2-9; 405 IAC 2-10; 405 IAC 5-1; 405 IAC 5-2; 405 IAC 5-3; 405 IAC 5-4; 405 IAC 5-5; 405 IAC 5-6; 405 IAC 5-7; 405 IAC 5-8; 405 IAC 5-9; 405 IAC 5-10; 405 IAC 5-12; 405 IAC 5-13; 405 IAC 5-14; 405 IAC 5-15; 405 IAC 5-16; 405 IAC 5-17; 405 IAC 5-18; 405 IAC 5-19; 405 IAC 5-20; 405 IAC 5-21.5; 405 IAC 5-22; 405 IAC 5-23; 405 IAC 5-24; 405 IAC 5-25; 405 IAC 5-26; 405 IAC 5-27; 405 IAC 5-28; 405 IAC 5-29; 405 IAC 5-30; 405 IAC 5-31; 405 IAC 5-32; 405 IAC 5-33; 405 IAC 5-34; 405 IAC 5-35; 405 IAC 5-36; 405 IAC 5-37; 405 IAC 5-38

SECTION 1. UNDER IC 4-22-2.5-4, THE FOLLOWING ARE READOPTED:
  405 IAC 1-1  General Provisions 
  405 IAC 1-1.5  Provider Reimbursement Appeal Procedures 
  405 IAC 1-1.6  Managed Care Provider Reimbursement Dispute Resolution 
  405 IAC 1-3  Criteria for Level of Care in Long Term Care Facilities 
  405 IAC 1-4.2  Home Health Services 
  405 IAC 1-4.3  Additional Rate Setting Criteria for Nursing Facilities, Community Residential Facilities for the Developmentally Disabled, and Intermediate Care Facilities for the Mentally Retarded 
  405 IAC 1-5  Provider Records 
  405 IAC 1-8  Hospital & [sic, and] Ambulatory Surgical Center Reimbursement for Outpatient Services 
  405 IAC 1-10.5  Reimbursement for Inpatient Hospital Services 
  405 IAC 1-11.5  Reimbursement for Services Performed by Physicians, Limited License Practitioners, and Nonphysician Practitioners 
  405 IAC 1-12  Rate-Setting Criteria for Non-State Owned ICFs-MR and CRFs-DD [sic, Rate-Setting Criteria for Nonstate-Owned Intermediate Care Facilities for the Mentally Retarded and Community Residential Facilities for the Developmentally Disabled] 
  405 IAC 1-13  Disproportionate Share Hospital Payments 
  405 IAC 1-14.5  Rate-Setting Criteria for HIV Nursing Facilities 
  405 IAC 1-14.6  Rate-Setting Criteria [sic, for] Nursing Facilities 
  405 IAC 1-15  Nursing Facilities; Electronic Transmission of Minimum Data Set 
  405 IAC 1-16  Reimbursement for Hospice Services 
  405 IAC 1-17  Rate-Setting for State Owned ICFs-MR [sic, Rate-Setting Criteria for State-Owned Intermediate Care Facilities for the Mentally Retarded] 
  405 IAC 1-18  Reimbursement for Medicare Cross-Over Claims 
  405 IAC 1-19  Ownership and Control Disclosures 
  405 IAC 1-20  Change of Ownership for a Long Term Care Facility 
  405 IAC 1-21  Payments for Psychiatric Residential Treatment Facility Services 
  405 IAC 1.1-1  Administrative Law Judge Hearings 
  405 IAC 1.1-2  Agency Review 
  405 IAC 1.1-3  Judicial Review 
  405 IAC 2-1  General Requirements; Medicaid Recipient Eligibility 
  405 IAC 2-2  Eligibility Requirements Other than Need 
  405 IAC 2-3  Eligibility Requirements Based on Need; Aged, Blind, and Disabled Program 
  405 IAC 2-3.2  Presumptive Eligibility for Pregnant Women 
  405 IAC 2-4  Burial Expenses 
  405 IAC 2-5  Determination of Monthly Income 
  405 IAC 2-6  Medical Assistance for Individuals 18, 19, and 20 Years of Age 
  405 IAC 2-7  Medical Assistance for Individuals Receiving SSI Benefits [sic, Medical Assistance for Individuals Receiving Supplemental Security Income Benefits] 
  405 IAC 2-8  Claims Against Estate of Medicaid Recipients 
  405 IAC 2-9  Medicaid for Employees with Disabilities 
  405 IAC 2-10  Lien Attachment and Enforcement 
  405 IAC 5-1  General Provisions 
  405 IAC 5-2  Definitions 
  405 IAC 5-3  Prior Authorization 
  405 IAC 5-4  Provider Enrollment 
  405 IAC 5-5  Out-of-State Services 
  405 IAC 5-6  Restricted Utilization 
  405 IAC 5-7  Administrative Review and Appeals of Prior uthorization [sic] Determinations 
  405 IAC 5-8  Consultations and Second Opinions 
  405 IAC 5-9  Evaluation and Management Services 
  405 IAC 5-10  Anesthesia Services 
  405 IAC 5-12  Chiropractic Services 
  405 IAC 5-13  Intermediate Care Facilities for the Mentally Retarded 
  405 IAC 5-14  Dental Services 
  405 IAC 5-15  Early and Periodic Screening, Diagnostic, and Treatment Services 
  405 IAC 5-16  Home Health Agency and Clinic Services 
  405 IAC 5-17  Hospital Services 
  405 IAC 5-18  Laboratory Services 
  405 IAC 5-19  Medical Supplies and Equipment 
  405 IAC 5-20  Mental Health Services 
  405 IAC 5-21.5  Medicaid Rehabilitation Option Services 
  405 IAC 5-22  Nursing and Therapy Services 
  405 IAC 5-23  Vision Care Services 
  405 IAC 5-24  Pharmacy Services 
  405 IAC 5-25  Physician Services 
  405 IAC 5-26  Podiatric Services 
  405 IAC 5-27  Radiology Services 
  405 IAC 5-28  Medical and Surgical Services 
  405 IAC 5-29  Services Not Covered by Medicaid 
  405 IAC 5-30  Transportation Services 
  405 IAC 5-31  Nursing Facility Services 
  405 IAC 5-32  Rehabilitation Unit 
  405 IAC 5-33  Acute Care Hospital Admission 
  405 IAC 5-34  Hospice Services 
  405 IAC 5-35  Case Management Services for Infants and Toddlers with Disabilities 
  405 IAC 5-36  Diabetes Self Management Training 
  405 IAC 5-37  Smoking Cessation Treatment Policy 
  405 IAC 5-38  Telemedicine Services 

LSA Document #13-241(F)
Intent to Readopt Rules: 20130619-IR-405130241RNA
Filed with Publisher: October 28, 2013, 3:18 p.m.

Posted: 11/27/2013 by Legislative Services Agency

DIN: 20131127-IR-405130241RFA
Composed: Oct 25,2014 9:36:08AM EDT
A PDF version of this document.