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 12-6 - Active providers; rate review; annual request
Current through March 20, 2024
Authority: IC 12-15-1-10; IC 12-15-21-2
Affected: IC 12-13-7-3; IC 12-15
Sec. 6.
(a) The rate effective date of the annual rate review established during rebasing years and nonrebasing years shall be the first day of the fourth month following the provider's reporting year-end, provided the annual financial report is submitted within ninety (90) days of the end of the provider's reporting period.
(b) The annual rate review that shall become effective during a rebasing year shall be established using the annual financial report as the basis of the review.
(c) The annual rate review that shall become effective during a nonrebasing year shall be established by applying an inflation adjustment to the previous year's annual or base Medicaid rate that excludes the rate reduction amount specified in section 24(d) of this rule. The inflation adjustment prescribed by this subsection shall be applied by using the CMS Nursing Home without Capital
Market Basket index as published by DRI/WEFA. The inflation adjustment shall apply from the midpoint of the previous year's annual or base Medicaid rate period to the midpoint of the current year annual Medicaid rate period prescribed as follows:
Rate Effective Date |
Midpoint Quarter |
January 1, Year 1 |
July 1, Year 1 |
April 1, Year 1 |
October 1, Year 1 |
July 1, Year 1 |
January 1, Year 2 |
October 1, Year 1 |
April 1, Year 2 |