Can we charge a client for services that are not included in their service package, or exceed their allowed units in the package that we don (or can ) get more sessions authorized?
Please see the below excerpt from the IHCP provider manual. Section 5: Charging Members for Noncovered Services General Information Federal and state regulations prohibit providers from charging any Indiana Health Coverage Programs (IHCP) member, or the family of a member, for any amount not paid following a reimbursement determination by the IHCP. See Code of Federal Regulations, Title 42, Part 447, Subpart A, Section 447.15; Indiana Administrative Code, Title 405, Article 1, Rule 1, Sections 3(i). Furthermore, the IHCP Provider Agreement contains the following provision: “To accept payment as payment in full the amounts determined by Indiana Family and Social Services Administration or its fiscal agent, in accordance with the Federal and State statutes as the appropriate payment for Medicaid or CHIP members (recipients). Provider agrees not to bill members, or any member of a recipient’s family, for any additional charge for Medicaid or any member of a recipient’s family, for any add
