Tit. 405, art. 1 IAC - MEDICAID PROVIDERS AND SERVICES
- Rule 405 IAC 1-1 - General Provisions (§ 405 IAC 1-1-1 to 405 IAC 1-1-16)
- Rule 405 IAC 1-1.4 - Program Integrity and Appeals (§ 405 IAC 1-1.4-1 to 405 IAC 1-1.4-13)
- Rule 405 IAC 1-1.5 - Provider Reimbursement Appeal Procedures (Repealed)
- 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)
- Rule 405 IAC 1-2 - Inspection of Care in Long Term Care Facilities (§ 405 IAC 1-2-1)
- 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)
- 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)
- Rule 405 IAC 1-4.1 - Rate-Setting Criteria for Home Health Agencies (Repealed)
- Rule 405 IAC 1-4.2 - Home Health Services (§ 405 IAC 1-4.2-1 to 405 IAC 1-4.2-6)
- 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)
- Rule 405 IAC 1-5 - Provider Records (Repealed)
- Rule 405 IAC 1-6 - Medicaid Covered Services and Limitations (Repealed)
- Rule 405 IAC 1-7 - Medicaid Medical Policy (Repealed)
- 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)
- Rule 405 IAC 1-9 - Reimbursement for Inpatient Psychiatric Services (Repealed)
- Rule 405 IAC 1-10 - Reimbursement for Inpatient Hospital Services (Repealed)
- Rule 405 IAC 1-10.5 - Reimbursement for Inpatient Hospital Services (§ 405 IAC 1-10.5-1 to 405 IAC 1-10.5-7)
- Rule 405 IAC 1-11 - Reimbursement for Services Performed by Physicians, Limited License Practitioners, and Nonphysician Practitioners (Repealed)
- 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)
- Rule 405 IAC 1-12 - Rate-Setting Criteria for Nonstate-Owned Intermediate Care Facilities for the Mentally Retarded and Community Residential Facilities for the Developmentally Disabled (§ 405 IAC 1-12-1 to 405 IAC 1-12-27)
- Rule 405 IAC 1-13 - Disproportionate Share Hospital Payments (§ 405 IAC 1-13-1 to 405 IAC 1-13-2)
- Rule 405 IAC 1-14 - Rate-Setting Criteria for Nursing Facilities
- Rule 405 IAC 1-14.1 - Rate-Setting Criteria for Nursing Facilities (Repealed)
- Rule 405 IAC 1-14.2 - Rate-Setting Criteria for Nursing Facilities (Voided)
- Rule 405 IAC 1-14.5 - Rate-Setting Criteria for HIV Nursing Facilities (Repealed)
- Rule 405 IAC 1-14.6 - Rate-Setting Criteria for Nursing Facilities (Repealed) (§ 405 IAC 1-14.6-1 to 405 IAC 1-14.6-26)
- Rule 405 IAC 1-14.7 - Rate Setting Criteria for Nursing Facilities (§ 405 IAC 1-14.7-1 to 405 IAC 1-14.7-13)
- Rule 405 IAC 1-15 - Nursing Facilities; Electronic Transmission of Minimum Data Set (§ 405 IAC 1-15-1 to 405 IAC 1-15-7)
- Rule 405 IAC 1-16 - Reimbursement for Hospice Services (§ 405 IAC 1-16-1 to 405 IAC 1-16-5)
- 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)
- Rule 405 IAC 1-18 - Reimbursement of Medicare Cross-Over Claims (§ 405 IAC 1-18-1 to 405 IAC 1-18-3)
- Rule 405 IAC 1-19 - Ownership and Control Disclosures (§ 405 IAC 1-19-1 to 405 IAC 1-19-2)
- 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)
- Rule 405 IAC 1-21 - Payments for Psychiatric Residential Treatment Facility Services (§ 405 IAC 1-21-1 to 405 IAC 1-21-4)
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.
- Rule 405 IAC 1-1 - General Provisions (§ 405 IAC 1-1-1 to 405 IAC 1-1-16)
- Rule 405 IAC 1-1.4 - Program Integrity and Appeals (§ 405 IAC 1-1.4-1 to 405 IAC 1-1.4-13)
- Rule 405 IAC 1-1.5 - Provider Reimbursement Appeal Procedures (Repealed)
- 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)
- Rule 405 IAC 1-2 - Inspection of Care in Long Term Care Facilities (§ 405 IAC 1-2-1)
- 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)
- 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)
- Rule 405 IAC 1-4.1 - Rate-Setting Criteria for Home Health Agencies (Repealed)
- Rule 405 IAC 1-4.2 - Home Health Services (§ 405 IAC 1-4.2-1 to 405 IAC 1-4.2-6)
- 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)
- Rule 405 IAC 1-5 - Provider Records (Repealed)
- Rule 405 IAC 1-6 - Medicaid Covered Services and Limitations (Repealed)
- Rule 405 IAC 1-7 - Medicaid Medical Policy (Repealed)
- 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)
- Rule 405 IAC 1-9 - Reimbursement for Inpatient Psychiatric Services (Repealed)
- Rule 405 IAC 1-10 - Reimbursement for Inpatient Hospital Services (Repealed)
- Rule 405 IAC 1-10.5 - Reimbursement for Inpatient Hospital Services (§ 405 IAC 1-10.5-1 to 405 IAC 1-10.5-7)
- Rule 405 IAC 1-11 - Reimbursement for Services Performed by Physicians, Limited License Practitioners, and Nonphysician Practitioners (Repealed)
- 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)
- Rule 405 IAC 1-12 - Rate-Setting Criteria for Nonstate-Owned Intermediate Care Facilities for the Mentally Retarded and Community Residential Facilities for the Developmentally Disabled (§ 405 IAC 1-12-1 to 405 IAC 1-12-27)
- Rule 405 IAC 1-13 - Disproportionate Share Hospital Payments (§ 405 IAC 1-13-1 to 405 IAC 1-13-2)
- Rule 405 IAC 1-14 - Rate-Setting Criteria for Nursing Facilities
- Rule 405 IAC 1-14.1 - Rate-Setting Criteria for Nursing Facilities (Repealed)
- Rule 405 IAC 1-14.2 - Rate-Setting Criteria for Nursing Facilities (Voided)
- Rule 405 IAC 1-14.5 - Rate-Setting Criteria for HIV Nursing Facilities (Repealed)
- 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)
- Rule 405 IAC 1-15 - Nursing Facilities; Electronic Transmission of Minimum Data Set (§ 405 IAC 1-15-1 to 405 IAC 1-15-7)
- Rule 405 IAC 1-16 - Reimbursement for Hospice Services (§ 405 IAC 1-16-1 to 405 IAC 1-16-5)
- 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)
- Rule 405 IAC 1-18 - Reimbursement of Medicare Cross-Over Claims (§ 405 IAC 1-18-1 to 405 IAC 1-18-3)
- Rule 405 IAC 1-19 - Ownership and Control Disclosures (§ 405 IAC 1-19-1 to 405 IAC 1-19-2)
- 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)
- Rule 405 IAC 1-21 - Payments for Psychiatric Residential Treatment Facility Services (§ 405 IAC 1-21-1 to 405 IAC 1-21-4)