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Indiana State Department of Health

ISDH Home > Long Term Care > Residential Care Facility Licensing Program  > Administrators Reference Guide Administrators Reference Guide

ISDH Contact List

ISDH Contact List

Annual Reporting





Changes in Bed Configuration

General Information

Requirements by Bed Category Type

Residential
Non-Certified Comprehensive (NCC)
Medicare (Title 18 SNF), Medicaid (Title 19 NF), and Medicare/Medicaid (Title 18 SNF/Title 19 NF)

Requirements by Bed Change Type

Bed Addition
Bed Conversion
Bed Decrease
Bed Reclassification
Bed Relocation

Additional Requirements

Distinct Part
Plans Approval
Commingling
Certificate of Need (CON)
Residential Room and Board Assistance Program

Change of Ownership

Intermediate Care Facility for the Mentally Retarded Facility (ICF-MR)
Medicaid Facility
Medicare and/or Medicare-Medicaid Dually Certified Facility
Residential Facility

Complaints

Complaints

Conversions

Medicaid Facility to Medicaid-Medicare Dually Certified Facility
Residential Facility or Non-Certified Comprehensive Facility to Medicaid-Medicare Dually Certified Facility
Residential Facility to Non-Certified Comprehensive Facility
Plans Approval

Incidents

General Information
Reportable Unusual Occurrences

New Facilities

Hospital Based Medicaid-Medicare Dually Certified Facility

Medicaid Facility
Medicare and/or Medicare-Medicaid Dually Certified Facility
Residential Facility
Plans Approval

Licensure Renewal

License Renewal

Medicare Provider Enrollment Application (CMS-855A)

Medicare Provider Enrollment Application (CMS-855A)

Minimum Data Set (MDS)

Minimum Data Set (MDS)

Nurse Aide Registry

General Information

Provider Changes

Administrator Changes
Director of Nursing Changes
Facility Name Changes
Facility Address Changes
Fiscal Intermediary Changes

Therapy Services

In-Patient Therapy Services
Out-Patient Therapy Services

Involuntary Transfer/Discharge Program

Involuntary Transfer/Discharge Program

Informal Dispute Resolution

Informal Dispute Resolution

Area Supervisors

Area Supervisors

Waivers and Variances

Admission of Children to Adult Long Term Care Facilities
Admission of Patients with Tuberculosis to Long Term Care Facilities
Room Size and Number of Residents per Room Waiver