Article 1 - MEDICAID PROVIDERS AND SERVICES

  1. Rule 405 IAC 1-1 - General Provisions (§ 405 IAC 1-1-1 to 405 IAC 1-1-16)
  2. Rule 405 IAC 1-1.4 - Program Integrity and Appeals (§ 405 IAC 1-1.4-1 to 405 IAC 1-1.4-13)
  3. Rule 405 IAC 1-1.5 - Provider Reimbursement Appeal Procedures (Repealed)
  4. Rule 405 IAC 1-1.6 - Managed Care Provider Reimbursement Dispute Resolution (§ 405 IAC 1-1.6-1 to 405 IAC 1-1.6-6)
  5. Rule 405 IAC 1-2 - Inspection of Care in Long Term Care Facilities (§ 405 IAC 1-2-1)
  6. Rule 405 IAC 1-3 - Criteria for Level of Care in Long Term Care Facilities (§ 405 IAC 1-3-1 to 405 IAC 1-3-3)
  7. Rule 405 IAC 1-4 - Rate-Setting Criteria for State-Owned Intermediate Care Facilities for the Mentally Retarded (§ 405 IAC 1-4-1 to 405 IAC 1-4-31)
  8. Rule 405 IAC 1-4.1 - Rate-Setting Criteria for Home Health Agencies (Repealed)
  9. Rule 405 IAC 1-4.2 - Home Health Services (§ 405 IAC 1-4.2-1 to 405 IAC 1-4.2-6)
  10. Rule 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 1-4.3-1)
  11. Rule 405 IAC 1-5 - Provider Records (§ 405 IAC 1-5-1 to 405 IAC 1-5-3)
  12. Rule 405 IAC 1-6 - Medicaid Covered Services and Limitations (Repealed)
  13. Rule 405 IAC 1-7 - Medicaid Medical Policy (Repealed)
  14. Rule 405 IAC 1-8 - Hospital and Ambulatory Surgical Center Reimbursement for Outpatient Services (§ 405 IAC 1-8-1 to 405 IAC 1-8-5)
  15. Rule 405 IAC 1-9 - Reimbursement for Inpatient Psychiatric Services (Repealed)
  16. Rule 405 IAC 1-10 - Reimbursement for Inpatient Hospital Services (Repealed)
  17. Rule 405 IAC 1-10.5 - Reimbursement for Inpatient Hospital Services (§ 405 IAC 1-10.5-1 to 405 IAC 1-10.5-7)
  18. Rule 405 IAC 1-11 - Reimbursement for Services Performed by Physicians, Limited License Practitioners, and Nonphysician Practitioners (Repealed)
  19. Rule 405 IAC 1-11.5 - Reimbursement for Services Performed by Physicians, Limited License Practitioners, and Nonphysician Practitioners (§ 405 IAC 1-11.5-1 to 405 IAC 1-11.5-3)
  20. Rule 405 IAC 1-12 - Rate-Setting Criteria for Nonstate-Owned Intermediate Care Facilities for the Mentally (§ 405 IAC 1-12-1 to 405 IAC 1-12-27)
  21. Rule 405 IAC 1-13 - Disproportionate Share Hospital Payments (§ 405 IAC 1-13-1 to 405 IAC 1-13-2)
  22. Rule 405 IAC 1-14 - Rate-Setting Criteria for Nursing Facilities (Repealed)
  23. Rule 405 IAC 1-14.1 - Rate-Setting Criteria for Nursing Facilities (Repealed)
  24. Rule 405 IAC 1-14.2 - Rate-Setting Criteria for Nursing Facilities (Voided)
  25. Rule 405 IAC 1-14.5 - Rate-Setting Criteria for HIV Nursing Facilities (Repealed)
  26. Rule 405 IAC 1-14.6 - Rate-Setting Criteria for Nursing Facilities (§ 405 IAC 1-14.6-1 to 405 IAC 1-14.6-26)
  27. Rule 405 IAC 1-15 - Nursing Facilities; Electronic Transmission of Minimum Data Set (§ 405 IAC 1-15-1 to 405 IAC 1-15-7)
  28. Rule 405 IAC 1-16 - Reimbursement for Hospice Services (§ 405 IAC 1-16-1 to 405 IAC 1-16-5)
  29. Rule 405 IAC 1-17 - Rate-Setting Criteria for State-Owned Intermediate Care Facilities for the Mentally Retarded (§ 405 IAC 1-17-1 to 405 IAC 1-17-18)
  30. Rule 405 IAC 1-18 - Reimbursement of Medicare Cross-Over Claims (§ 405 IAC 1-18-1 to 405 IAC 1-18-3)
  31. Rule 405 IAC 1-19 - Ownership and Control Disclosures (§ 405 IAC 1-19-1 to 405 IAC 1-19-2)
  32. Rule 405 IAC 1-20 - Change of Ownership for a Long Term Care Facility (§ 405 IAC 1-20-1 to 405 IAC 1-20-5)
  33. Rule 405 IAC 1-21 - Payments for Psychiatric Residential Treatment Facility Services (§ 405 IAC 1-21-1 to 405 IAC 1-21-4)

Current through September 22, 2021

Notes

405 IAC 1 was transferred from 470 IAC 5. Wherever in any promulgated text there appears a reference to 470 IAC 5, substitute 405 IAC 1. Refer to the note after each rule heading in this article for additional conversions.

The following state regulations pages link to this page.



State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.