405 Ind. Admin. Code 11-6-1

Current through January 8, 2025

Section 405 IAC 11-6-1 - Provider reimbursement; fee for service

Authority: IC 12-17.6-2-11

Affected: IC 12-17.6

Sec. 1.

Except for reimbursement to providers who have contracts with a CHIP risk-based MCO, the rates of reimbursement for the services and supplies provided under this title shall be the same as those calculated for Medicaid services and supplies under the Medicaid state plan, state statute, and rules adopted by the secretary at 405 IAC 1. Reimbursement to providers who have contracts with a CHIP risk-based MCO is governed by the contract between the provider and the MCO as described in section 3 of this rule.

405 IAC 11-6-1

Office of the Secretary of Family and Social Services; 405 IAC 11-6-1; filed May 3, 2000, 2:02 p.m.: 23 IR 2231; 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 1-6-1) to the Office of the Secretary of Family and Social Services ( 405 IAC 11-6-1) by P.L. 35-2016, SECTION 53, effective March 21, 2016.