405 Ind. Admin. Code 11-1-15

Current through January 8, 2025
Section 405 IAC 11-1-15 - "Primary care case management" or "PCCM" defined

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 15.

"Primary care case management" or "PCCM" means a delivery system for health care in which members are linked to a PMP who contracts directly with the office. The PMP is responsible for coordinating designated covered services, and he or she, as well as all other providers rendering services in this delivery system, is reimbursed on a fee-for-service basis.

405 IAC 11-1-15

Office of the Secretary of Family and Social Services; 405 IAC 11-1-15; filed May 3, 2000, 2:02 p.m.: 23 IR 2226; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA; readopted filed 4/9/2018, 9:12 a.m.: 20180509-IR-405180110RFA

Transferred from the Office of the Children's Health Insurance Program ( 407 IAC 1-1-15) to the Office of the Secretary of Family and Social Services ( 405 IAC 11-1-15) by P.L. 35-2016, SECTION 53, effective March 21, 2016.