Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 1 - MEDICAID PROVIDERS AND SERVICES
Rule 405 IAC 1-4.3 - Additional Rate-Setting Criteria for Nursing Facilities, Community Residential Facilities for the Developmentally Disabled, and Intermediate Care Facilities for the Mentally Retarded
Section 405 IAC 1-4.3-1 - Limitations or qualifications to Medicaid reimbursement; litigation expenses

405 Ind. Admin. Code 1-4.3-1

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Current through May 29, 2024
Section 405 IAC 1-4.3-1 - Limitations or qualifications to Medicaid reimbursement; litigation expenses

Authority: IC 12-15-21-1; IC 12-15-21-3

Affected: IC 12-15-14-2

Sec. 1.

(a) Notwithstanding any other sections of this article, the criteria in this section apply to litigation expenses for nursing facilities, ICFs/IID, and CRFs/DD.
(b) Legal fees, expenses related to expert witnesses, accounting fees, and other consulting fees shall not be reimbursed by the office as reasonably related medical expenses under Medicaid if the expenses are incurred as the result of an administrative or judicial action or proceeding against any agency of the state or the federal government.

405 IAC 1-4.3-1

Office of the Secretary of Family and Social Services; 405 IAC 1-4.3-1; filed Jul 28, 1994, 4:00 p.m.: 17 IR 2853; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA
Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA
Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA