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Program Integrity and Appeals | Midpage
Collections
Indiana Administrative Code
Title 405
1
Rule 1.4
Program Integrity and Appeals
Office of the Secretary of Family and Social Services
1
Scope
2
Medical records
3
Provider enrollment
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Sanctions against providers; determination after investigation
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Payment suspension procedures
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Provider exclusions
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Prepayment review
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Denial of claim payment procedures
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Provider audits; overpayments; recovery
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Provider payments during pendency of applicant or member appeals; recovery
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Appeal requests; noninstitutional providers
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Appeal requests; institutional providers
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Summary review