405 IAC 5-28-8 - Sterilization

Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-13-7-3; IC 12-15

Sec. 8.

Medicaid reimbursement is available for sterilization with the following restrictions:

(1) Sterilization procedures must comply with the mandates of federal rules.

(2) The member must be twenty-one (21) years of age or older at the time the informed consent form is signed.

(3) The member must be neither mentally incompetent nor institutionalized.

(4) The member must have voluntarily given informed consent on forms prescribed for such purposes by the federal Department of Health and Human Services.

(5) All appropriate documentation must be attached to the claim and to claims for directly related services before reimbursement shall be made.

Notes

405 IAC 5-28-8

Office ofthe Secretary of Family and Social Services; 405 IAC 5-28-8; filed Jul 25, 1997, 4:00p. m.: 20 IR 3355; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA