Section 470 IAC 11.1-2-3 - Collection of data; recipient profileAuthority: IC 12-13-2-3; IC 12-13-5-3
Affected: IC 12-16
Sec. 3.
(a) Each county office of family and children shall submit to the division of family and children within sixty (60) days following disposition of patient's application for eligibility, on forms prescribed by the division of family and children, information concerning the patient, which shall include, but not be limited to, the following:(2) County and state of residence.(12) Status of application.(b) Any provider seeking reimbursement under the above-noted patient's application shall assist the county office of family and children in completing the required forms by submitting that information which is not available to the county office of family and children.Division of Family Resources; 470 IAC 11.1-2-3; filed Dec 16, 1986, 3:35 p.m.: 10 IR 1077, eff Jan 1, 1987 [IC 4-22-2-36 suspends the effectiveness of a rule document for thirty (30) days after filing with the secretary of state. LSA Document #86-121 was filed Dec 16, 1986.]; filed Oct 3, 1997, 4:50 p.m.: 21 IR 376; readopted filed Jul 12, 2001, 1:40 p.m.: 24 IR 4235; readopted filed Oct 24, 2007, 11:25 a.m.: 20071121-IR-470070448RFA; readopted filed Aug 23, 2013, 3:36 p.m.: 20130918-IR-470130306RFA