Indiana Medicaid Appeals Reduction Process Restarting

Indiana Medicaid is restarting the appeals reduction process that was originally started back in 2012 in an effort to clear the slate on old, sometimes decades old, rate and audit appeals.  Indiana Medicaid is sending out this memo to facilities that are licensed to the these entities. OMPP is focusing on all of the chain providers that have outstanding rate and audit appeals for rate effective dates prior to Oct. 1, 2011 (for rate appeals( and July 1, 2011 (for audit appeals). The memo is addressed to Nursing Facility Owners, but you may want to read that as Nursing Facility Licensee. At the end of the day, this memo and the appeal documentation will be sent to the licensee, in many cases a county hospital.

Since appeal within chain organizations are often times consolidated into one cause number covering multiple facilities, different county hospitals will receive withdrawal paperwork for the same cause number. It is important to remember that the appeal will not be withdrawn until all licensees have signed off on the withdrawal. In addition, OMPP wants to hear back from each licensee within 30 days of receiving the withdrawal paperwork that the licensee is interested in pursuing a withdraw.  This notice is just that, notice of a desire to move forward and is not acceptance of the withdrawal (but it can be if the licensee desires to move that fast).