Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 1 - MEDICAID PROVIDERS AND SERVICES
Rule 12 - Rate-Setting Criteria for Nonstate-Owned Intermediate Care Facilities for the Mentally Retarded and Community Residential Facilities for the Developmentally Disabled
- Section 12-1 - Policy; scope
- Section 12-2 - Definitions
- Section 12-3 - Accounting records; retention schedule; audit trail; accrual basis; segregation of accounts by nature of business and by location
- Section 12-4 - Financial report to office; annual schedule; prescribed form; extensions; penalty for untimely filing
- Section 12-5 - New provider; initial financial report to office; criteria for establishing initial interim rates; supplemental report; base rate setting; penalty for untimely filing of Checklist of Management Representations
- Section 12-6 - Active providers; rate review; annual request
- Section 12-7 - Request for rate review; effect of inflation; occupancy level assumptions
- Section 12-8 - Limitations or qualifications to Medicaid reimbursement; advertising; vehicle basis
- Section 12-9 - Criteria limiting rate adjustment granted by office
- Section 12-10 - Computation of rate; allowable costs; review of cost reasonableness
- Section 12-11 - Allowable costs; services provided by parties related to provider
- Section 12-12 - Allowable costs; capital return factor
- Section 12-13 - Allowable costs; capital return factor; computation of use fee component; interest; allocation of loan to facilities and parties
- Section 12-14 - Allowable costs; capital return factor; computation of return on equity component
- Section 12-15 - Allowable costs; capital return factor; use fee; depreciable life; property basis
- Section 12-16 - Capital return factor; basis; historical cost; mandatory record keeping; valuation
- Section 12-17 - Capital return factor; basis; sale or capital lease of facility; valuation; sale or lease among family members
- Section 12-18 - Unallowable costs; cost adjustments; charity and courtesy allowances; discounts; rebates; refunds of expenses
- Section 12-19 - Allowable costs; wages; costs of employment; record keeping; owner or related party compensation
- Section 12-20 - Allowable costs; calculation of allowable owner or related party compensation; wages; salaries; fees; fringe benefits
- Section 12-20.5 - Extensive support needs residences for adults; fair rental value allowance
- Section 12-21 - Nonstate-operated intermediate care facilities for the mentally retarded; allowable costs; compensation; per diem rate
- Section 12-22 - Community residential facilities for the developmentally disabled; allowable costs; compensation; per diem rate
- Section 12-23 - Medical or nonmedical supplies and equipment; personal care items
- Section 12-24 - Assessment methodology
- Section 12-25 - Reimbursement for day services
- Section 12-26 - Administrative reconsideration; appeal
- Section 12-27 - Rate reduction (Voided)
Current through March 20, 2024
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