Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 1 - MEDICAID PROVIDERS AND SERVICES
Rule 1.4 - Program Integrity and Appeals
- Section 1.4-1 - Scope
- Section 1.4-2 - Medical records
- Section 1.4-3 - Provider enrollment
- Section 1.4-4 - Sanctions against providers; determination after investigation
- Section 1.4-5 - Payment suspension procedures
- Section 1.4-6 - Provider exclusions
- Section 1.4-7 - Prepayment review
- Section 1.4-8 - Denial of claim payment procedures
- Section 1.4-9 - Provider audits; overpayments; recovery
- Section 1.4-10 - Provider payments during pendency of applicant or member appeals; recovery
- Section 1.4-11 - Appeal requests; noninstitutional providers
- Section 1.4-12 - Appeal requests; institutional providers
- Section 1.4-13 - Summary review
Current through March 20, 2024
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