I move that Engrossed Senate Bill 615 be amended to read as follows:
Page 8, between lines 41 and 42, begin a new line block indented
and insert:
" (4) Require daily rate components for individuals enrolled
in services that include components for residential services
(based on at least a three (3) resident to one (1) staff ratio,
whenever possible), day services, and other services as
determined by the division of disability, aging and
rehabilitative services.
(5) Require an annual or biennial service agreement among
the state, provider and developmentally disabled individual
(as defined in IC 12-7-2-62) formalizing the commitment of
each party to the placement and implementation of the
individualized support plan.
(6) Allow termination or modification of the service
agreement if:
(A) the individual is not in services for more than fifteen
(15) consecutive days;
(B) the services described in the individualized support
plan have not been provided;
(C) the individual is abused or neglected by an agent or
employee of the provider during the period of the service
agreement;
(D) there is a substantial change in the condition of the
individual which increases the total services required by
the individual;
(E) through no fault of the provider, a housemate
departs the setting; or
(F) the provider fails to provide reports and information
as requested by the state.
(7) Require annual cost reporting to determine the base rates
for the funding matrix under subdivision (2).".
Page 9, line 3, delete "to provide" and insert " to:".
Page 9, delete lines 4 through 15, begin a new line block indented
and insert:
" (1) allow a provider to be given credit for any provider
standards that the division determines are the same as or
similar in intent and effect as state or federally mandated
provider standards;
(2) require a provider to comply with any individual
provider standards not included in the accreditation
standards of an approved independent national accreditation
organization;
(3) require a provider or approved independent national
accreditation organization to provide the division with
documentation of the applicable accreditation standards; and
(4) require the provider to maintain accreditation and notify
the division if accreditation is suspended or revoked.".
Page 9, between lines 16 and 17 begin a new line block indented
and insert:
"SECTION 11. [EFFECTIVE JULY1, 2005] (a) Before July 1,
2006, the office of the secretary of family and social services shall
adopt rules under IC 4-22-2 to add and amend rules under 405 IAC
to govern fiscal audits completed by:
(1) the office of the secretary of family and social services
audit staff; and
(2) agencies contracted by the office of the secretary of family
and social services to complete fiscal audits.
(b) Before July 1, 2006, the office of the secretary of family and
social services shall adopt rules under IC 4-22-2 to add and amend
rules under 405 IAC to require that the office of the secretary of
family and social services' audit rules for providers of services to
a developmentally disabled individual (as defined in IC 12-7-2-62)
must meet the following requirements:
(1) All classifications of providers are required to be audited.
(2) The audit process must be written, formalized, and have
specific time schedules.
(3) Not less than fourteen (14) days advanced notice must be
given before:
(A) an audit; and
(B) any papers required to be provided during the audit
must be submitted to the audit agency.
(4) The purpose and content of an exit conference must be
defined.
(5) The purpose, scope, and schedule for the issuance of audit
reports must be defined.
(6) Except for cases of fraud, an audit must be completed and
issued not more than two (2) years after the end of the:
(A) grant period; or
(B) provider's fiscal year;
whichever is later.
(7) A formal appeal process that includes:
(A) the issuance of a preliminary finding;
(B) a time for the provider to respond to the preliminary
findings and submit additional information for review
before final findings are issued; and
(C) appeal procedures with deadlines.
(c) Before July 1, 2006, the division of disability, aging, and
rehabilitative services shall adopt rules under IC 4-22-2 that
comply with rules adopted under subsections (a) and (b) and that
require the following:
(1) Audit and program staff of the family and social services
administration to jointly approve issued service definitions
and bulletins that impact potential audit issues.
(2) Development of comprehensive bureau of developmental
disabilities services provider manual for state and waiver
funded services that is comparable to the Medicaid provider
manual.
(3) All revisions to the manual created under subdivision (2)
and rules adopted or amended may be implemented only on
the first day of a month.
(4) Develop consistent definitions of services and
documentation standards regardless of the funding source.
(5) Develop written documentation standards, including
acceptable electronic documentation formats.
(6) Provide initial and periodic training of a provider's
financial staff by the division of disability, aging, and
rehabilitative services concerning accounting, billing, and
audit procedures.
(d) This SECTION expires July 1, 2007.".
Renumber all SECTIONS consecutively.
(Reference is to ESB 615 as printed March 18, 2005.)