405 Ind. Admin. Code 2-4-1

Current through October 31, 2024

Section 405 IAC 2-4-1 - Payment of burial expenses

Authority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2

Affected: IC 12-13-7-3; IC 12-14; IC 12-15

Sec. 1.

(a) For the purpose of implementing the provisions of IC 12-14, a member of Medicaid for the aged, blind, and disabled is that person who is receiving Medicaid as of the date of his or her death, or who applied for Medicaid prior to the date of his or her death and was subsequently determined eligible.

(b) The state department shall pay for the cost of the deceased member's burial expenses subject to the following limitations:

(1) Payment will be made only to the funeral director or cemetery representative upon submission of a completed claim form prescribed by the state department.

(2) Payment shall not be made to a funeral director who submits a claim for cemetery expenses unless he or she attaches proof to the claim that he or she is the cemetery representative or has been designated the cemetery representative.

(3) In determining the amount to be paid by the state department to the funeral director, contributions paid and payments made or available from the estate of the deceased member in excess of the exclusion provided by IC 12-14 shall be subtracted from the statutory maximum. The balance of the unpaid expenses, up to the statutory maximum, shall be paid by the state department.

(4) In determining the amount to be paid by the state department to the cemetery representative, contributions paid and payments made or available from the estate of the deceased member in excess of the statutory exclusion shall be subtracted from the statutory maximum. The balance of the unpaid expenses, up to the statutory maximum, shall be paid by the state department.

405 IAC 2-4-1

Office of the Secretary of Family and Social Services; 405 IAC 2-4-1; filed Mar 1, 1984, 2:31 pm: 7 IR 1021, effApr 1, 1984; errata, 7 IR 1254; filed Aug 2, 1985, 2:39 pm: 8 IR 2023, eff Sep 1, 1985; filed Jul 16, 1987, 2:00 pm: 10 IR 2671; errata, 11 IR 799; 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

Readopted filed 11/13/2019, 11:54 a.m.: 20191211-IR-405190487RFA

Filed 6/11/2021, 2:35 p.m.: 20210707-IR-405190602FRA

Transferred from the Division of Family and Children ( 470 IAC 9.1-4-1) to the Office of the Secretary of Family and Social Services ( 405 IAC 2-4-1) by P.L. 9-1991, SECTION 131, effective January 1, 1992.