Indiana Code 12-15-1-22. Visit to Medicaid provider offices, entities, or facilities; rules
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Sec. 22. (a) The office shall visit a Medicaid provider’s office, entity, or facility if:
(2) the provider’s Medicaid claims have increased by at least fifty percent (50%) over a six (6) month period.
(1) the provider is categorized as high risk to the Medicaid program under 42 U.S.C. § 1395cc(j)(2)(B) and 42 C.F.R. § 455.450; and
Terms Used In Indiana Code 12-15-1-22
- Month: means a calendar month, unless otherwise expressed. See Indiana Code 1-1-4-5
(b) The office shall adopt rules under IC 4-22-2 or issue a Medicaid provider bulletin setting forth procedures and standards for the visit required under this section.
As added by P.L.197-2013, SEC.9.