Visit to Medicaid Provider Offices, Entities, or Facilities; Rules

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  2. Indiana Code
  3. Human Services
  4. Medicaid
  5. Administration
  6. Visit to Medicaid Provider Offices, Entities, or Facilities; Rules

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Sec. 22. (a) The office shall visit a Medicaid provider's office, entity, or facility if:

(1) the provider is categorized as high risk to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450; and

(2) the provider's Medicaid claims have increased by at least fifty percent (50%) over a six (6) month period.

(b) The office shall adopt rules under IC 4-22-2 or issue a Medicaid provider bulletin setting forth procedures and standards for the visit required under this section.

As added by P.L.197-2013, SEC.9.


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