Section 405 IAC 13-5-1 - Coverage and limitationsAuthority: IC 12-17.6-2-11
Affected: IC 12-17.6
Sec. 1.
(a) Subject to the limitation in subsection (b), durable medical equipment, repairs to durable medical equipment, and medical supplies are covered using the same coverage criteria and prior authorization procedures applicable to the Medicaid program and set forth in 405 IAC 5-19.(b) Durable medical equipment is subject to a maximum benefit of two thousand dollars ($2,000) per calendar year per member and five thousand dollars ($5,000) per member per lifetime. Office of the Secretary of Family and Social Services; 405 IAC 13-5-1; filed May 3, 2000, 2:02 p.m.: 23 IR 2236; 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-405180110RFATransferred from the Office of the Children's Health Insurance Program ( 407 IAC 3-6-1) to the Office of the Secretary of Family and Social Services ( 405 IAC 13-5-1) by P.L. 35-2016, SECTION 53, effective March 21, 2016.