Indiana § 12-15-1-22 Visit to Medicaid provider offices, entities, or facilities; rules

Indiana Statutes

§ 12-15-1-22 — Visit to Medicaid provider offices, entities, or facilities; rules

Indiana·Art. 15 MEDICAID·Ch. 1 Administration

(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.

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(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.

Indiana § 12-15-1-22 (Visit to Medicaid provider offices, entities, or facilities; rules) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.