20110622-IR-405110363ONA Notice of Changes in Methods and Standards for Medicaid Payments to Speech/Hearing Therapists, Audiologists, Optometrists, Opticians, Independent Laboratory and Radiology Providers, and Freestanding ...  

  • OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

    Notice of Changes in Methods and Standards for Medicaid Payments to Speech/Hearing Therapists,
    Audiologists, Optometrists, Opticians, Independent Laboratory and Radiology Providers,
    and Freestanding Renal Dialysis Clinics


    In accordance with public notice requirements of 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act, the Indiana Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to the reimbursement methodology for Medicaid services provided by enrolled speech/hearing therapists, audiologists, optometrists, opticians, independent laboratory and radiology providers, and freestanding renal dialysis clinics.

    The FSSA OMPP proposes to modify reimbursement formulas by reducing the reimbursement currently paid to speech/hearing therapists, audiologists, optometrists, opticians, independent laboratory and radiology providers, and freestanding renal dialysis clinics, under the Medicaid state plan and state regulations at 405 IAC 1-11.5, 405 IAC 5-18, 405 IAC 5-22, 405 IAC 5-23, and 405 IAC 5-27, by five percent below what would have otherwise been in effect. This reduction shall be effective July 1, 2011.

    The reduction in reimbursement is necessary in order to avoid a budgetary shortfall and to remain within the available Medicaid appropriation. It is estimated that the fiscal impact of these changes will be annual savings of state and federal expenditures of approximately $3 million.

    A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis Indiana and open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana.

    The proposed changes are available on the Internet at:
    http://in.mslc.com
    Interested parties without Internet access should contact Myers and Stauffer, LC at (800) 877-6927 to obtain copies of the proposed changes.

    There will be no public hearing. Anyone who wishes to comment on the proposed changes may submit written comments to: FSSA, Office of Medicaid Policy and Planning, Attention: Yvonne Burke, 402 West Washington Street, Room W374, MS-07, Indianapolis, IN 46204. Correspondence should be identified in the following manner: COMMENT RE: THERAPY, AUDIOLOGY, VISION, INDEPENDENT LABORATORY AND RADIOLOGY, AND FREESTANDING DIALYSIS REIMBURSEMENT CHANGES. Written comments received will be made available for public display at the address herein of the OMPP.

    Michael A. Gargano
    Secretary
    Family and Social Services Administration

    Posted: 06/22/2011 by Legislative Services Agency

    DIN: 20110622-IR-405110363ONA
    Composed: Nov 01,2016 1:10:39AM EDT
    A PDF version of this document.