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
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.