Section 405IAC5-13-2. Reimbursement  


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  •    (a) Medicaid reimbursement is available for services provided by a state owned ICF/IID in accordance with 405 IAC 1-4.

      (b) Medicaid reimbursement is available for services provided by a large private or small ICF/IID in accordance with 405 IAC 1-12.

      (c) The ICF/IID per diem rate covers those services and products furnished by the facility for the usual care and treatment of such patients.

      (d) Requests for reimbursement of ICF/IID services shall be expressed in units of full days. A day begins at midnight and ends twenty-four (24) hours later. The midnight-to-midnight method is to be used when reporting days of service, even if the health facility uses a different definition for statistical or other purposes. The day of discharge is not covered. (Office of the Secretary of Family and Social Services; 405 IAC 5-13-2; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3315; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA; errata filed Nov 1, 2016, 9:36 a.m.: 20161109-IR-405160493ACA)