in-20250820-IR-405250429ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

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Summary

Notice of Out-of-State Children's Hospital Outlier Cost Reimbursement Methodology In accordance with public notice requirements established at 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to methods and standards governing inpatient hospital and outpatient hospital reimbursement for out-of-state children's hospitals. The public notice period is from August 20, 2025, through September 19, 2025. OMPP is making these changes to the Medicaid State Plan to bring Indiana Medicaid into compliance with Indiana House Enrolled Act 1024 (2025), which extends the expiration date of the out-of-state children’s hospital reimbursement methodology from July 1, 2023, to June 30, 2027. This change is effective July 1, 2025. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Brooke...

The agency’s own summary, as published.

The rule, in full

289 words as published, August 20, 2025. View the original →

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of Out-of-State Children's Hospital Outlier Cost Reimbursement Methodology In accordance with public notice requirements established at 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to methods and standards governing inpatient hospital and outpatient hospital reimbursement for out-of-state children's hospitals. The public notice period is from August 20, 2025, through September 19, 2025. OMPP is making these changes to the Medicaid State Plan to bring Indiana Medicaid into compliance with Indiana House Enrolled Act 1024 (2025), which extends the expiration date of the out-of-state children’s hospital reimbursement methodology from July 1, 2023, to June 30, 2027. This change is effective July 1, 2025. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at the Indiana Government Center South, 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Brooke Cripe, 402 West Washington Street, Room W382, P.O. Box 7083, Indianapolis, IN 46207-7083 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: OUT-OF-STATE CHILDREN'S HOSPITAL. Written comments will be made available for public inspection at the address herein of OMPP.

E. Mitchell Roob, Jr.

Secretary Family and Social Services Administration

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