TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Final Rule
LSA Document #22-392
DIGEST
Amends
405 IAC 5-16-5 to revise the list of practitioners for rural health clinics and federally qualified health centers under the Medicaid prospective payment system reimbursement methodology. Effective 30 days after filing with the Publisher.
405 IAC 5-16-5 Rural health clinics and federally qualified health centers; reimbursement
Authority:
IC 12-15-1-10;
IC 12-15-1-15;
IC 12-15-21-2
Sec. 5. Medicaid reimbursement is available to rural health clinics (RHCs) and federally qualified health clinics centers (FQHCs) for services provided by the following providers:
(1) A physician.
(2) A physician assistant.
(3) A nurse practitioner.
(4) A clinical psychologist.
(5)
A clinical social worker. A provider listed in IC 12-15-13-9(a).
Reimbursement is also available for services and supplies incident to such services as would otherwise be covered if furnished by a physician or as an incident to a physician's services. Services to a homebound individual are only available in the case of those FQHCs that are located in an area that has a shortage of home health agencies as determined by the office. Any other Ambulatory service included in the Medicaid state plan is considered a covered FQHC service if the FQHC offers such a that service. FQHC services are defined the same as the services provided by RHCs.
(Office of the Secretary of Family and Social Services; 405 IAC 5-16-5; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3326; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA; readopted filed Jul 28, 2022, 2:21 p.m.: 20220824-IR-405220205RFA; filed Jun 26, 2023, 8:51 a.m.: 20230726-IR-405220392FRA)
Hearing Held: April 26, 2023
Approved by Attorney General: June 20, 2023
Approved by Governor: June 21, 2023
Filed with Publisher: June 26, 2023, 8:51 a.m.
Documents Incorporated by Reference: None Received by Publisher
Small Business Regulatory Coordinator: Keith McConomy, Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning, Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, IN 46204, (317) 233-9640, keith.mcconomy@fssa.in.gov
Posted: 07/26/2023 by Legislative Services Agency
DIN: 20230726-IR-405220392FRA
Composed: May 18,2024 8:17:29AM EDT
A
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