in-20251022-IR-405250479FNA: COPAYMENTS

TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of First Public Comment Period LSA Document #25-479 COPAYMENTS PURPOSE OF NOTICE The Office of Medicaid Policy and Planning (OMPP) is soliciting public comment on repealing rules at 405 IAC 1 and 405 IAC 5 concerning copayments. OMPP seeks comment on the affected citations listed and any other provisions of Title 405 that may be affected by this rulemaking. ADDITIONAL DOCUMENTS Regulatory Analysis: 20251022-IR-405250479RAA Notice of Public Hearing: 20251022-IR-405250479PHA CITATIONS AFFECTED: 405 IAC 1-8-4; 405 IAC 5-24-7; 405 IAC 5-30-2 AUTHORITY: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3 OVERVIEW Basic Purpose and Background The proposed rule change is imposed by House Enrolled Act 1513-2023, which removes copayments for Medicaid services. Repealing the rules will remove copayment language from the Indiana Administrative Code for all Medicaid programs except Healthy Indiana Plan, MEDWorks, and the Children’s Health Insurance Program, and bring OMPP into compliance with enacted legislation. For purposes of IC 4-22-2-28.1, small businesses affected by this rulemaking may contact the Small Business Regulatory Coordinator: For purposes of IC 4-22-2-28.1, the Small Business Ombudsman designated by IC 5-28-17-6 is: Resources available to regulated entities through the small business ombudsman include the ombudsman's duties stated in IC 5-28-17-6, specifically IC 5-28-17-6(9), investigating and attempting to resolve any matter regarding compliance by a small business with a law, rule, or policy administered by a state agency, either as a party to a proceeding or as a mediator. REQUEST FOR PUBLIC COMMENT OMPP is soliciting public comment on the proposed rule. Comments may be submitted in one of the following ways: COMMENT PERIOD DEADLINE All comments must be postmarked or time stamped not later than November 24, 2025. The rule, Regulatory Analysis, appendices referenced in the Regulatory Analysis, and materials incorporated by reference (if applicable) are on file at the Family and Social Services Administration, 402 West Washington Street, Room W451, Indianapolis, Indiana and are available for public inspection. Copies of the rule, Regulatory Analysis, and appendices referenced in the Regulatory Analysis are available at the Family and Social Services Administration office. If OMPP does not receive substantive comments during the public comment period or public hearing, the rule may be adopted with text that is the same as or does not substantially differ from the text of the proposed rule published in this notice. PROPOSED RULE