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• They are the cemetery representative; or • They have been designated as such by the cemetery representative.

In addition, the funeral director must attach a receipt for the cemetery expenses to the claim form. If there was no charge for opening and closing the grave, a notation to this effect must be entered on the claim by the funeral director. If the funeral director is designated as the cemetery representative, cemetery claims submitted by any other party will not be paid. 4820.00.00 CONSIDERATION OF BURIAL CLAIMS BY THE DFR (C)

The payment of funeral and cemetery expenses is based upon the charges for burial expenses, the existence of other funds to meet such expenses, and the legal maximum payments from public funds.

The DFR is to investigate the resources of the deceased recipient and record a summary of the findings and any additional pertinent information on the reverse side of the burial claim form. The amounts paid by all other sources toward burial expenses should be verified by the DFR before a recommendation for payment is made.

If the DFR determines that payments made toward burial expenses are insufficient to cover the costs, and payment of the claim is to be approved by the DFR, the Director of the DFR shall: • Certify that State Form 35937 (R3/3-04)/ FM0033 is in proper form and that the amount being recommended for payment is correct based on information submitted by the funeral director or the cemetery representative; • sign the form; and • file copies in the deceased recipient's case record. 4825.00.00 VERIFICATION BY THE DFR OF BURIAL CONTRIBUTIONS (C)

In the event inaccurate information was recorded on the funeral and/or cemetery claim regarding the amount of the individual contribution, the DFR will follow up. If it is determined that there was collusion, misrepresentation, or apparent fraud on the part of the funeral director and/or the cemetery representative to obtain more payment, the DFR will refer the case for prosecution. 4830.00.00 PAYMENT FOR BURIAL EXPENSES (C)

Recommendations for payment of funeral and cemetery expenses of deceased recipients are to be submitted for final approval to the: • Director of Medicaid Burials, 702 Goodwin Place, Suite A, Kendallville, IN 46755.

After final approval claims will be submitted for payment to: • FSSA Administrative Services-Burials, 402 W Washington Street PO Box 28, Indianapolis, Indiana 46204.