OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Notice of Changes in Methods and Standards for Medicaid Payments for
Home Health Agencies
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 services provided by enrolled home health agencies.
The OMPP proposes that payment rates for home health services provided on or after July 1, 2017, will remove the 3% rate reduction and further increase the payment rates for overhead, physical therapy, occupational therapy, and speech therapy. The Medicaid rates effective July 1, 2017, are as follows:
| | |
| Home Health Service | Billing Unit | Medicaid Rate |
| Overhead | One unit per provider per recipient per day | $32.13 |
| Registered Nurse (RN) | Hourly | $43.34 |
| Licensed Practical Nurse (LPN) | Hourly | $27.82 |
| Home Health Aide | Hourly | $18.88 |
| Physical Therapist | 15-minute increments | $18.63 |
| Occupational Therapist | 15-minute increments | $17.21 |
| Speech Pathologist | 15-minute increments | $18.78 |
It is estimated that the fiscal impact of these changes will increase state and federal expenditures by approximately $3.6 million for Federal Fiscal Year 2017 (federal share of $2.4 million and state share of $1.2 million), and by $15.1 million for Federal Fiscal Year 2018 (federal share of $9.9 million and state share of $5.2 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. This public notice period will be from May 31, 2017, to June 30, 2017.
There will be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Chris Fletcher, 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 REIMBURSEMENT METHODOLOGY FOR HOME HEALTH AGENCIES. Written comments will be made available for public inspection at the address herein of the OMPP.
Jennifer Walthall, M.D., MPH
Family and Social Services Administration
Posted: 05/31/2017 by Legislative Services Agency
DIN: 20170531-IR-405170266ONA
Composed: May 03,2024 11:40:35PM EDT
A
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