Indiana · Regulations
Rule 1.4 — 4. Program Integrity and Appeals
13 sections
13 sections
- 405 IAC 1-1.4-1405 IAC 1-1.4-1 Scope
- 405 IAC 1-1.4-2405 IAC 1-1.4-2 Medical records
- 405 IAC 1-1.4-3405 IAC 1-1.4-3 Provider enrollment
- 405 IAC 1-1.4-4405 IAC 1-1.4-4 Sanctions against providers; determination after investigation
- 405 IAC 1-1.4-5405 IAC 1-1.4-5 Payment suspension procedures
- 405 IAC 1-1.4-6405 IAC 1-1.4-6 Provider exclusions
- 405 IAC 1-1.4-7405 IAC 1-1.4-7 Prepayment review
- 405 IAC 1-1.4-8405 IAC 1-1.4-8 Denial of claim payment procedures
- 405 IAC 1-1.4-9405 IAC 1-1.4-9 Provider audits; overpayments; recovery
- 405 IAC 1-1.4-10405 IAC 1-1.4-10 Provider payments during pendency of applicant or member appeals; recovery
- 405 IAC 1-1.4-11405 IAC 1-1.4-11 Appeal requests; noninstitutional providers
- 405 IAC 1-1.4-12405 IAC 1-1.4-12 Appeal requests; institutional providers
- 405 IAC 1-1.4-13405 IAC 1-1.4-13 Summary review