405 IAC 1-4.2-3 Home health care services; general information

Sec. 3. (a) Medicaid will reimburse HHAs for the following home health services: (1) Skilled nursing performed by a registered nurse or licensed practical nurse. (2) Home health aide services. (3) Physical and occupational therapies. (4) Speech pathology services. (5) Renal dialysis. (6) Telehealth services. The services in this subsection must be provided within the limitations set forth in 405 IAC 5-16. (b) Except as provided in subsection (c), all home health services require prior authorization by submitting a properly completed written request to the office. Prior authorization procedures for home health care are set forth in 405 IAC 5-16-3 and 405 IAC 5-16-3.1. (c) Prior authorization may be obtained by telephone under the circumstances and subject to the limitations set forth in 405 IAC 5-3-2(b)(3). Services ordered in writing by a physician prior to the patient's discharge from a hospital within the limitations set forth in 405 IAC 5-3-12(2) do not need prior authorization.