Indiana Medicaid Publishes Final Rule Concerning Value Based Purchasing

OnJune 26th, 2013, the final rule to implement the long-awaited Indiana Medicaid Value Based Purchasing program (VBP) was published in the Indiana Register. Click here to read the rule.  The VBP program is now the legal standard for NF reimbursement, however it still must be approved by CMS prior to implementation.  Indiana Medicaid submitted a State Plan Amendment to CMS on May 18, 2013, and approval should take place yet this year.  To read more details about the VBP program, click here.

The final rule also makes other changes to the Indiana NF reimbursement regulation, including changes to field audit procedures, administrative reconsideration and appeal processes, and the addition of new allowable costs in the direct care, in-direct care, and administrative components of the NF reimbursement rate.

Please contact Zach Cattell, zcattell@ihca.org, with any questions.