Indiana § 12-15-14-8 Use of RUG-IV, 48-Group model for payments; public notice if
reduction in reimbursement

Indiana Statutes

§ 12-15-14-8 — Use of RUG-IV, 48-Group model for payments; public notice if reduction in reimbursement

Indiana·Art. 15 MEDICAID·Ch. 14 Payment to Nursing Facilities

(a)The office may implement an end of therapy reclassification methodology in the RUG-IV, 48-Group model or its successor for payment of nursing facility services.

(b)Before the office changes a health facility service reimbursement that results in a reduction in reimbursement, the office shall provide public notice of at least one (1) year. The public notice under this subsection:

(1)is not a rulemaking action or part of the administrative rulemaking process under IC 4-22; and

(2)must include the fiscal impact of the proposed reimbursement change.

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(a) The office may implement an end of
therapy reclassification methodology in the RUG-IV, 48-Group model
or its successor for payment of nursing facility services.
(b) Before the office changes a health facility service reimbursement
that results in a reduction in reimbursement, the office shall provide
public notice of at least one (1) year. The public notice under this
subsection:
(1) is not a rulemaking action or part of the administrative
rulemaking process under IC 4-22; and
(2) must include the fiscal impact of the proposed reimbursement
change.

Indiana § 12-15-14-8 (Use of RUG-IV, 48-Group model for payments; public notice if reduction in reimbursement) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.