Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 1 - MEDICAID PROVIDERS AND SERVICES
Rule 3 - Criteria for Level of Care in Long Term Care Facilities
Section 3-2 - Intermediate level of care criteria
Current through March 20, 2024
Authority: IC 12-15-1-1; IC 12-15-1-10
Affected: IC 12-15-5-1
Sec. 2.
(a) Intermediate nursing care includes care for patients with long term illnesses or disabilities which are relatively stable, or care for patients nearing recovery and discharge who continue to require some professional medical or nursing supervision and attention. Intermediate care services encompass a range of services from those below skilled level services to those above room and board level services. The determination of the differences between the skilled and intermediate level of care is based upon the patient's condition, along with the complexity and range of medical services required by the patient on a daily basis. The provision of room, food, laundry, and supervision of activities of daily living do not, in and of themselves, qualify as intermediate care.
(b) Intermediate care includes room, food, laundry, and professional supervision of activities for protection and safety, along with combinations of the following:
(c) Intermediate services require some professional supervision, but may be performed by properly trained nonprofessional personnel. The following illustrated services are generally of a supportive nature and are less than skilled level services:
(d) Medicaid does not make reimbursement for services below the intermediate level of care.
Transferred from the Division of Family and Children (470 IAC 5-3-3) to the Office of the Secretary of Family and Social Services (405 IAC 1-3-2) by P.L. 9-1991, SECTION 131, effective January 1, 1992.