460 IAC 18-9-3 Resolution of disputes

[NOTE: IC 12-9.1 is repealed by P.L. 122-2026, SECTION 38, effective July 1, 2026.] [NOTE: IC 12-10.5 is repealed by P.L. 122-2026, SECTION 51, effective July 1, 2026.] Sec. 3. (a) If a dispute arises between or among providers, the dispute resolution process set out in this section shall be implemented. (b) The resolution of a dispute shall be designed to address an individual's needs. (c) The parties to the dispute and the individual shall attempt to resolve the dispute informally through an exchange of information and possible resolution. (d) If these parties are not able to resolve the dispute within fifteen (15) calendar days: (1) each party must document, in writing: (A) the issues in the dispute; (B) their positions; and (C) their efforts to resolve the dispute; and (2) the parties shall refer the dispute to DDARS or its designee for resolution in coordinating the recipient's needs. (e) The parties shall abide by the decision. (f) A party adversely affected or aggrieved by DDARS' decision may request an administrative review of the decision under 455 IAC 2-7-1 [460 IAC 18-7-1] within fifteen (15) calendar days after the party receives written notice of the recommendation. (g) Administrative review proceedings shall be conducted under IC 4-21.5.