405 IAC 1-4.2-1
405 IAC 1-4.2-1 Policy; scope
Cite as Ind. Admin. Code tit. 405, r. 1-4.2-1
Sec. 1. (a) This rule provides general information regarding the criteria for providing home health services to Medicaid members and sets
forth the criteria for reimbursement for services rendered to Medicaid members by home health agencies. The information and procedures contained
in this rule apply to home health agencies. Continued participation in Medicaid and payment for services are contingent upon maintenance of state
licensure and compliance with the Medicaid provider agreement.
(b) In accordance with federal law, reimbursement for home health services will be consistent with efficiency, economy, and quality of
care and sufficient to enlist enough providers so that care and services are available to Medicaid members at least to the extent that such care and
services are available to the general population in the geographic area.