Ind. Code ch. 12-15-14

Ind. Code ch. 12-15-14
in effect

Ind. Code § 12-15-14-1 Payment criteria; uniformity

Sec. 1. (a) Except as provided in subsection (b), payment of services for nursing facilities shall be determined under the same criteria and in a uniform manner for all facilities providing services. (b) In addition to reimbursement under the uniform rates of payment developed for all nursing facilities under subsection (a): (1) nursing facilities that are owned and operated by a governmental entity may receive any additional payments that are permitted under applicable federal statutes and regulations; and (2) nursing facilities that are not owned and operated by a governmental entity may receive any additional payments that are permitted under applicable federal statutes and regulations. (c) Each governmental transfer or other payment mechanism that the office implements under this chapter must maximize the amount of federal financial participation that the state can obtain through the intergovernmental transfer or other payment mechanism. [Pre-1992 Revision Citation: 12-1-7-17.4.] As added by P.L.2-1992, SEC.9. Amended by P.L.160-2001, SEC.1.

Ind. Code § 12-15-14-2 Payment of nursing facility services; rules

Sec. 2. (a) Payment of nursing facility services shall be determined in accordance with 42 U.S.C. 1396a(a)(13)(A) and any other applicable federal statutes or regulations governing such payments. (b) The office of the secretary shall adopt rules under IC 4-22-2 to implement the reimbursement system required by this section. [Pre-1992 Revision Citation: 12-1-7-17.6(b).] As added by P.L.2-1992, SEC.9. Amended by P.L.152-1995, SEC.11; P.L.257-1996, SEC.10; P.L.126-1998, SEC.3; P.L.160-2001, SEC.2; P.L.241-2023, SEC.14.

Ind. Code § 12-15-14-2.5 Prohibition on reimbursement for reservation of bed for hospitalized or otherwise absent Medicaid recipient

Sec. 2.5. (a) The office may not reimburse a nursing facility provider for reserving a bed for a Medicaid recipient when the Medicaid recipient is not present in the nursing facility due to a hospital stay or leave of absence for therapeutic reasons. (b) Not later than September 30, 2011, the office shall submit a state Medicaid plan amendment to the federal Centers for Medicare and Medicaid Services to implement this section. As added by P.L.229-2011, SEC.127.

Ind. Code § 12-15-14-8 Use of RUG-IV, 48-Group model for payments; public notice if reduction in reimbursement

Sec. 8. (a) The office may implement an end of therapy reclassification methodology in the RUG-IV, 48-Group model or its successor for payment of nursing facility services. (b) Before the office changes a health facility service reimbursement that results in a reduction in reimbursement, the office shall provide public notice of at least six (6) months. The public notice under this subsection: (1) is not a rulemaking action or part of the administrative rulemaking process under IC 4-22; and (2) must include the fiscal impact of the proposed reimbursement change. As added by P.L.224-2017, SEC.4. Amended by P.L.165-2021, SEC.140; P.L.241-2023, SEC.15; P.L.160-2026, SEC.12.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/12Fetched: 10/17/2026

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