Section 12-15-1-22 - Visit to Medicaid provider offices, entities, or facilities; rules(a) The office shall visit a Medicaid provider's office, entity, or facility if:(1) the provider is categorized as high risk to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450; and(2) the provider's Medicaid claims have increased by at least fifty percent (50%) over a six (6) month period.(b) The office shall adopt rules under IC 4-22-2 or issue a Medicaid provider bulletin setting forth procedures and standards for the visit required under this section.Added by P.L. 197-2013, SEC. 9, eff. 7/1/2013.