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IHCP Revises Previously Announced Changes to HCBS Assisted Living Billing Policy (BT2025190)
Indianasub_regulatoryIndiana Health Coverage Programs (IHCP) / OMPP & DDARS
What this rule requires your agency to do
- 1Providers must ensure documentation exists for each day the member is present in the facility (documentation standards from BT2025173 remain unchanged).(IHCP Revises Previously Announced Changes to HCBS Assisted Living Billing Policy (BT2025190))
- 2Assisted living providers may bill monthly or daily for services up to 29 days; monthly billing requires the resident to be present in the facility a minimum of 15 days per month.(IHCP Revises Previously Announced Changes to HCBS Assisted Living Billing Policy (BT2025190))
- 3Assisted living providers may submit claims for reimbursement only after the HCBS waiver services are rendered; daily-billing claims submitted for future dates of service will be denied.(IHCP Revises Previously Announced Changes to HCBS Assisted Living Billing Policy (BT2025190))
Applies to: cross-cutting
Pauses the monthly/daily billing thresholds from BT2025173, letting assisted living providers bill monthly or daily (up to 29 days) with a 15-day-minimum-presence rule for monthly billing, while keeping the documentation standards unchanged.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.