405 Ind. Admin. Code 11-1-17

Current through January 8, 2025

Section 405 IAC 11-1-17 - "Risk-based managed care" or "RBMC" defined

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 17.

" Risk-based managed care" or "RBMC" means a fully capitated prepayment plan where a managed care organization, under a contract with the office, is at risk to arrange for and administer the provision of a comprehensive set of covered services to CHIP members. Members are linked to a PMP who contracts directly with the MCO.

405 IAC 11-1-17

Office of the Secretary of Family and Social Services; 405 IAC 11-1-17; 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 1-1-17) to the Office of the Secretary of Family and Social Services ( 405 IAC 11-1-17) by P.L. 35-2016, SECTION 53, effective March 21, 2016.