405 IAC 5-13-1 Policy; definitions

Sec. 1. (a) Medicaid reimbursement is available for services provided by a certified intermediate care facility for individuals with intellectual disabilities (ICF/IID) when such services have been rendered to a member whose reimbursement has been approved by the office. Such services must be provided in accordance with IC 12-15-32, 42 CFR 483.400-480, and this rule. (b) As used in this rule, "small ICF/IID" means a certified intermediate care facility for individuals with intellectual disabilities that: (1) provides ICF/IID services for not less than four (4) and not more than eight (8) developmentally disabled persons in a residential setting; and (2) meets the federal requirements for an ICF/IID group home. (c) As used in this section, "large private ICF/IID" means an institution certified as an intermediate care facility for individuals with intellectual disabilities that: (1) is not owned or operated, or both, by an agency of federal, state, or local government; and (2) serves more than eight (8) developmentally disabled persons. (d) As used in this rule, "large state ICF/IID" means a state owned or operated facility that provides ICF/IID services for more than eight (8) developmentally disabled persons in an institutional setting.