405 IAC 1-16-1 Policy

Sec. 1. (a) This rule sets forth procedures for payment for services rendered to Medicaid members by duly certified hospice providers that provide hospice care. All payments referred to within this rule for the provider groups and levels of care are contingent upon the following: (1) Proper and current certification. (2) Compliance with applicable state and federal statutes and regulations. (b) The procedures described in this rule set forth methods of reimbursement that promote quality of care, efficiency, economy, and consistency. These procedures recognize level and quality of care, establish effective accountability over Medicaid expenditures, and compensate providers for reasonable, allowable costs that must be incurred by efficiently and economically operated facilities. The system of payment outlined in this rule is a prospective system.