MedicaidAdministrativeMedium impact
BT202534: FSSA clarifies level of care (LOC) assessment reference date (ARD) for nursing facility admissions
Indiana Medicaid (IHCP)·IN · Geriatrics, Family Medicine, Internal Medicine·Specialty Services
Effective date
Mar 6, 2025
We identified it
Jun 19, 2026
Summary
Indiana Medicaid now allows nursing facility level of care (LOC) assessments to be retroactively dated up to 90 days prior to submission, with specific guidelines about Medicaid activation dates and PASRR assessments. Providers who had LOC denials between November 15, 2024 and February 28, 2025 due to ARD dating issues can request reconsideration.
Action Required
Immediately: Billing team should review any nursing facility LOC assessment denials from November 15, 2024 through February 28, 2025 that were denied due to ARD dating issues and contact the LCAR Help Desk at INLCAR@maximus.com for reconsideration. Update billing procedures to utilize the new 90-day retroactive ARD dating allowance for future nursing facility admissions, ensuring ARD does not predate Medicaid benefit activation or PASRR Level I assessment dates.