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    v1.0.28
    OpenPayerPolicy UpdatesAdministrative/Operational PolicyIndiana DOI Residential Rate Coverage | OpenPayer
    Ask Trek AI about this page
    CurrentIndiana Department of InsurancePolicy 17.04

    Rate Setting (Residential Licensing)

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    This policy governs payment rates for children placed in residential treatment centers by the Indiana Department of Child Services or juvenile justice, including amounts eligible for federal reimbursement. It affects residential treatment providers seeking recommendation or payment from DCS.

    Policy Summary
    PayerIndiana Department of Insurance
    PolicyRate Setting (Residential Licensing)
    Policy CodePolicy 17.04
    Change TypeNo material change
    Effective DateJanuary 1, 2026
    Next Review DateNot specified
    Key ActionVerify that the residential treatment provider is licensed by the Indiana Department of Child Services before recommending or paying the provider.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    01/01/2026Effective date
    v3Policy version
    ResidentialPayment setting
    RequiredLicensure condition

    Residential Provider Eligibility

    Policy Summary
    PayerIndiana Department of Insurance
    PolicyRate Setting (Residential Licensing)
    Policy CodePolicy 17.04
    Change TypeNo material change
    Effective DateJanuary 1, 2026
    Next Review DateNot specified
    Key ActionVerify that the residential treatment provider is licensed by the Indiana Department of Child Services before recommending or paying the provider.
    SourceLink
    On This Page
    Residential Provider EligibilityLicensure Verification

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Residential provider licensure requirement

    Payment or recommendation by DCS is contingent on provider licensure.

    ALL of the following

    • The residential treatment provider must be licensed by the Indiana Department of Child Services as required by state law.

    Licensure Verification

    Denial Risk

    Verify DCS licensure before payment

    Verify that the residential treatment provider is licensed by the Indiana Department of Child Services as required by state law before recommending or paying the provider.