405 IAC 5-34-3 Out-of-state providers

Sec. 3. (a) Subject to the conditions in this section and section 2 of this rule, and any applicable state or federal licensing laws or regulations, an Indiana resident may receive hospice services from an out-of-state hospice provider if the provider is: (1) located in a designated out-of-state area pursuant to 405 IAC 5-5-1; and (2) enrolled in Medicaid. (b) Prior authorization may be granted for an Indiana resident to receive hospice services from an out-of-state hospice provider not located in a designated out-of-state city if any one (1) of the criteria listed at 405 IAC 5-5-2(c) is met. (c) Routine home care and continuous home care hospice services may be provided by out-of-state hospice providers to Indiana residents in their own home or in a nursing facility located in Indiana. (d) Inpatient respite care and general inpatient care hospice services may be provided in an out-of-state hospice provider's facility. (e) Routine home care and continuous home care hospice services cannot be provided to an Indiana resident in a nursing facility outside of Indiana.