Office of the Secretary of Family and Social Services Docket 250274 Notice

in-20250521-IR-405250274ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

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Summary

Notice of Attestation to State’s Compliance with Third Party Liability Requirements In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of attestation to the state’s compliance with federal requirements governing third party liability policies. The public notice period is from May 21, 2025, through June 20, 2025. FSSA – OMPP proposes to submit a state plan amendment (SPA) that attests to the state's compliance with the third party liability requirements in Section 1902(a)(25)(1) of the Social Security Act. The Consolidated Appropriations Act 2022 requires states to submit a SPA of assurance that state law and policy is following the requirements that third party insurers are not allowed to deny a claim solely based on lack of prior authorization, and that third parties must reply to state inquiries on claims within 60 days after receiving the state inquiry. There will be no fiscal impact associated with this amendment. This amendment will be 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...

The agency’s own summary, as published.

The rule, in full

333 words as published, May 21, 2025. View the original →

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of Attestation to State’s Compliance with Third Party Liability Requirements In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of attestation to the state’s compliance with federal requirements governing third party liability policies. The public notice period is from May 21, 2025, through June 20, 2025. FSSA – OMPP proposes to submit a state plan amendment (SPA) that attests to the state's compliance with the third party liability requirements in Section 1902(a)(25)(1) of the Social Security Act. The Consolidated Appropriations Act 2022 requires states to submit a SPA of assurance that state law and policy is following the requirements that third party insurers are not allowed to deny a claim solely based on lack of prior authorization, and that third parties must reply to state inquiries on claims within 60 days after receiving the state inquiry. There will be no fiscal impact associated with this amendment. This amendment will be 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 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: Conner Ortman, 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: THIRD PARTY LIABILITY. Written comments will be made available for public inspection at the address herein of the OMPP.