Rule 405 IAC 14-2 - Definitions; All Managed Care Programs
- Section 405 IAC 14-2-1 - Applicability
- Section 405 IAC 14-2-2 - "Adverse action" defined
- Section 405 IAC 14-2-3 - "Aligned enrollment" defined
- Section 405 IAC 14-2-4 - "American Indian/Alaska Native" defined
- Section 405 IAC 14-2-5 - "Appeal" defined
- Section 405 IAC 14-2-6 - "Capitated payment" defined
- Section 405 IAC 14-2-7 - "CHIP" defined
- Section 405 IAC 14-2-8 - "Choice counseling" defined
- Section 405 IAC 14-2-9 - "Claim" defined
- Section 405 IAC 14-2-10 - "Clean claim" defined
- Section 405 IAC 14-2-11 - "Code of Federal Regulations" or "CFR" defined
- Section 405 IAC 14-2-12 - "Contract" defined
- Section 405 IAC 14-2-13 - "Covered service" defined
- Section 405 IAC 14-2-14 - "Credentialing" defined
- Section 405 IAC 14-2-15 - "Day" defined
- Section 405 IAC 14-2-16 - "Disenrollment" defined
- Section 405 IAC 14-2-17 - "Dual eligible member" defined
- Section 405 IAC 14-2-18 - "Emergency medical condition" defined
- Section 405 IAC 14-2-19 - "Emergency services" defined
- Section 405 IAC 14-2-20 - "Enrollee" defined
- Section 405 IAC 14-2-21 - "Enrollment broker" defined
- Section 405 IAC 14-2-22 - "Federally qualified health center" or "FQHC" defined
- Section 405 IAC 14-2-23 - "Fee-for-service" or "FFS" defined
- Section 405 IAC 14-2-24 - "Grievance" defined
- Section 405 IAC 14-2-25 - "Health and wellness waiver" or "H&W waiver" defined
- Section 405 IAC 14-2-26 - "Health maintenance organization" or "HMO" defined
- Section 405 IAC 14-2-27 - "Healthy Indiana Plan" or "HIP" defined
- Section 405 IAC 14-2-28 - "Home and community based services" or "HCBS" defined
- Section 405 IAC 14-2-29 - "Hoosier Care Connect" or "HCC" defined
- Section 405 IAC 14-2-30 - "Hoosier Healthwise" or "HHW" defined
- Section 405 IAC 14-2-31 - "Indiana health coverage programs" or "IHCP" defined
- Section 405 IAC 14-2-32 - "Intermediate care facility for individuals with intellectual disabilities" or "ICF-IID" defined
- Section 405 IAC 14-2-33 - "Level of care assessor" or "LOCA" defined
- Section 405 IAC 14-2-34 - "Managed care organization" or "MCO" defined
- Section 405 IAC 14-2-35 - "Managed care program" defined
- Section 405 IAC 14-2-36 - "Managed long term services and supports" or "MLTSS" defined
- Section 405 IAC 14-2-37 - "Mandatory enrollment" defined
- Section 405 IAC 14-2-38 - "Medicaid rehabilitation option" or "MRO" defined
- Section 405 IAC 14-2-39 - "MED Works" defined
- Section 405 IAC 14-2-40 - "Member" defined
- Section 405 IAC 14-2-41 - "PathWays" or "Indiana PathWays for Aging" defined
- Section 405 IAC 14-2-42 - "Primary medical provider" or "PMP" defined
- Section 405 IAC 14-2-43 - "Poststabilization care services" defined
- Section 405 IAC 14-2-44 - "Prior authorization" defined
- Section 405 IAC 14-2-45 - "Qualified disabled working individual" or "QDWI" defined
- Section 405 IAC 14-2-46 - "Qualified Medicare Beneficiary-Also" or "QMB-Also" defined
- Section 405 IAC 14-2-47 - "Qualified Medicare beneficiary dual eligible member" or "QMB DUAL" defined
- Section 405 IAC 14-2-48 - "Qualified Medicare beneficiary only" or "QMB Only" defined
- Section 405 IAC 14-2-49 - "Qualified Medicare beneficiary plus" or "QMB Plus" defined
- Section 405 IAC 14-2-50 - "Qualifying individual" or "QI" defined
- Section 405 IAC 14-2-51 - "Referral" defined
- Section 405 IAC 14-2-52 - "Self-referral" defined
- Section 405 IAC 14-2-53 - "Specified low income Medicare beneficiary only" or "SLMB Only" defined
- Section 405 IAC 14-2-54 - "Specified low income Medicare beneficiary plus" or "SLMB+" defined
- Section 405 IAC 14-2-55 - "State plan" defined
- Section 405 IAC 14-2-56 - "Supplemental security income" or "SSI" defined
- Section 405 IAC 14-2-57 - Enrollment area
- Section 405 IAC 14-2-58 - Grievances and appeals
- Section 405 IAC 14-2-59 - Enrollment and disenrollment
- Section 405 IAC 14-2-60 - PMP selection and assignment
- Section 405 IAC 14-2-61 - Drug coverage