Indiana § 12-15-13.5-3 Audit period

Indiana Statutes

§ 12-15-13.5-3 — Audit period

Indiana § 12-15-13.5-3

Art. 15MEDICAID

Ch. 13.5Medicaid Recovery Audits

This text of Indiana § 12-15-13.5-3 (Audit period) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 12-15-13.5-3 (2026).

Text

A recovery audit under this chapter must include the following:

(1)Subject to subdivision (2), for audits initiated after June 30, 2019, the audit look back period must be three (3) years and one hundred-eighty (180) days.

(2)If the office or a managed care organization discovers information that may indicate a credible allegation of fraud, abusive billing practices, or a claims process error rate greater than thirty percent (30%), the office or the managed care organization may increase the audit look back period to a total of seven (7) years.

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A recovery audit under this chapter must
include the following:
(1) Subject to subdivision (2), for audits initiated after June 30,
2019, the audit look back period must be three (3) years and one
hundred-eighty (180) days.
(2) If the office or a managed care organization discovers
information that may indicate a credible allegation of fraud,
abusive billing practices, or a claims process error rate greater
than thirty percent (30%), the office or the managed care
organization may increase the audit look back period to a total of
seven (7) years.