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 4.2-5 - Home health care services reimbursement rates

Universal Citation: 405 IN Admin Code 4.2-5

Current through March 20, 2024

Authority: IC 12-15-21-1; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-15-13-2; IC 12-15-22-1; IC 12-15-34-14.5

Sec. 5.

(a) The staffing and overhead billing units for HHA services are as follows:

Home Health Service

Billing Unit

Overhead

One unit per provider per member per day

Registered Nurse (RN)

Hourly

Licensed Practical Nurse (LPN)

Hourly

Home Health Aide

Hourly

Physical Therapist

15-minute increments

Occupational Therapist

15-minute increments

Speech Pathologist

15-minute increments

(b) For dates of service on or after July 1, 2018, Medicaid reimbursement shall be at the rates effective July 1, 2018.

(c) All fee schedules are available through the agency's website at www.indianamedicaid.com. Except as otherwise noted, state-developed fee schedule rates are the same for both governmental and private providers of home health care.

Disclaimer: These regulations may not be the most recent version. Indiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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