Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 1 - MEDICAID PROVIDERS AND SERVICES
Rule 4.2 - Home Health Services
Section 4.2-3 - Home health care services; general information
Current through March 20, 2024
Authority: IC 12-15-5-11; IC 12-15-21
Affected: IC 12-15-13-2
Sec. 3.
(a) Medicaid will reimburse HHAs for the following home health services:
The services in this subsection must be provided within the limitations set forth in 405 IAC 5-16.
(b) Except as provided in subsection (c), all home health services require prior authorization by submitting a properly completed written request to the office. Prior authorization procedures for home health care are set forth in 405 IAC 5-16-3 and 405 IAC 5-16-3.1.
(c) Prior authorization may be obtained by telephone under the circumstances and subject to the limitations set forth in 405 IAC 5-3-2(b)(3). Services ordered in writing by a physician prior to the patient's discharge from a hospital within the limitations set forth in 405 IAC 5-3-12(2) do not need prior authorization.
