IC 12-15-14
Chapter 14. Payment to Nursing Facilities
IC 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. As added by P.L.2-1992, SEC.9. Amended by P.L.160-2001, SEC.1.
IC 12-15-14-2 Payment of nursing facilities under 42 U.S.C. 1396a(a)(13)(A);
non-Medicaid revenue information; complete balance sheet data
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 may not require a provider to submit non-Medicaid
revenue information in the provider's annual historical financial
report. Non-Medicaid revenue information obtained by Medicaid
auditors in the course of their audits may not be used for public
reporting purposes.
(c) The office may only request complete balance sheet data that
applies directly to the provider's facility. Complete balance sheet data
acquired by the office under this subsection:
(1) is confidential; and
(2) may only be disclosed:
(A) in the aggregate; or
(B) for an individual facility;
if the office removes all non-Medicaid data.
(d) The office of the secretary shall adopt rules under IC 4-22-2
to implement the reimbursement system required by this section. 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.
IC 12-15-14-3
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-4
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-5
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14
Chapter 14. Payment to Nursing Facilities
IC 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. As added by P.L.2-1992, SEC.9. Amended by P.L.160-2001, SEC.1.
IC 12-15-14-2 Payment of nursing facilities under 42 U.S.C. 1396a(a)(13)(A);
non-Medicaid revenue information; complete balance sheet data
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 may not require a provider to submit non-Medicaid
revenue information in the provider's annual historical financial
report. Non-Medicaid revenue information obtained by Medicaid
auditors in the course of their audits may not be used for public
reporting purposes.
(c) The office may only request complete balance sheet data that
applies directly to the provider's facility. Complete balance sheet data
acquired by the office under this subsection:
(1) is confidential; and
(2) may only be disclosed:
(A) in the aggregate; or
(B) for an individual facility;
if the office removes all non-Medicaid data.
(d) The office of the secretary shall adopt rules under IC 4-22-2
to implement the reimbursement system required by this section. 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.
IC 12-15-14-3
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-4
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-5
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14
Chapter 14. Payment to Nursing Facilities
IC 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. As added by P.L.2-1992, SEC.9. Amended by P.L.160-2001, SEC.1.
IC 12-15-14-2 Payment of nursing facilities under 42 U.S.C. 1396a(a)(13)(A);
non-Medicaid revenue information; complete balance sheet data
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 may not require a provider to submit non-Medicaid
revenue information in the provider's annual historical financial
report. Non-Medicaid revenue information obtained by Medicaid
auditors in the course of their audits may not be used for public
reporting purposes.
(c) The office may only request complete balance sheet data that
applies directly to the provider's facility. Complete balance sheet data
acquired by the office under this subsection:
(1) is confidential; and
(2) may only be disclosed:
(A) in the aggregate; or
(B) for an individual facility;
if the office removes all non-Medicaid data.
(d) The office of the secretary shall adopt rules under IC 4-22-2
to implement the reimbursement system required by this section. 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.
IC 12-15-14-3
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-4
Repealed
(Repealed by P.L.2-1997, SEC.89.)
IC 12-15-14-5
Repealed
(Repealed by P.L.2-1997, SEC.89.)
