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Rate matrix for Medicaid services

April 14, 2023

Rate matrix for Medicaid services

The Indiana Family and Social Services Administration is focused on ensuring a predictable and appropriate approach to reviewing rates for Medicaid services. To support this focus, we have developed a rate matrix to establish a regular review cadence for those services that do not otherwise have a review detailed in state or federal code.

Under the rate matrix approach, each rate will be reviewed at least every four years using an evidence-based rate methodology that includes input from providers and other stakeholders. The rate matrix approach also includes a yearly index in the years between rate reviews. The rate review periods will align with the biennial budget cycle so that the results of the review can be considered and approved by the Indiana General Assembly as part of the budget process.

The current rate matrix can be viewed by clicking here. Following the conclusion of the legislative session, the matrix will be updated based on the approved biennial budget. If you have questions and/or note a service that is not included, please let us know by emailing FSSA.IHCPReimbursement@FSSA.IN.gov.

For more information and updates, please click here. 

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