405 Ind. Admin. Code 14-4-4

Current through October 9, 2024

Section 405 IAC 14-4-4 - Managed care carve-outs

Authority: IC 12-15-1-10

Affected: IC 12-15-5; IC 12-15-12

Sec. 4.

Individuals enrolled in HCC shall receive the covered services described in section 3 of this rule through a capitated managed care arrangement, through the MCO in which the individual is enrolled, except for the following covered services, which are delivered outside the capitated managed care arrangement and delivered through FFS:

(1) Medicaid rehabilitation option at 405 IAC 5-21.5.

(2) Adult mental health habilitation services at 405 IAC 5-21.6.

(3) Behavioral and primary health care coordination at 405 IAC 5-21.8.

(4) Child mental health wraparound services at 405 IAC 5-21.7.

(5) Individualized family services plans.

(6) Individualized education plans.

405 IAC 14-4-4

Office of the Secretary of Family and Social Services; 405 IAC 14-4-4; filed 8/30/2024, 11:42 a.m.: 20240925-IR-405240180FRA