Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 5 - MEDICAID SERVICES
Rule 405 IAC 5-3 - Prior Authorization
Section 405 IAC 5-3-3 - Prior authorization based on false information

405 Ind. Admin. Code 5-3-3

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Current through December 4, 2024
Section 405 IAC 5-3-3 - Prior authorization based on false information

Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-15-30-1

Sec. 3.

Services authorized on the basis of false information supplied by the provider or the provider's agent that the provider or the provider's agent knew or should have reasonably known to be false are not reimbursable.

405 IAC 5-3-3

Office of the Secretary of Family and Social Services; 405 IAC 5-3-3; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3303; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.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
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA