Ind. Code § 12-15-1-22
Visit to Medicaid provider offices, entities, or facilities; rules
As added by P.L.197-2013, SEC.9.
(a) The office shall visit a Medicaid provider's office, entity, or facility if:
- (1) the provider is categorized as high risk to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450; and
- (2) the provider's Medicaid claims have increased by at least fifty percent (50%) over a six (6) month period.
- (b) The office shall adopt rules under IC 4-22-2 or issue a Medicaid provider bulletin setting forth procedures and standards for the visit required under this section.
As added by P.L.197-2013, SEC.9.