405 Ind. Admin. Code 5-14-6

Current through October 31, 2024

Section 405 IAC 5-14-6 - Prophylaxis

Authority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-13-7-3; IC 12-15

Sec. 6.

Prophylaxis is a covered service in accordance with the following limitations:

(1) One (1) unit every six (6) months for noninstitutionalized members twelve (12) months of age up to their twenty-first birthday.

(2) One (1) unit every twelve (12) months for noninstitutionalized members twenty-one (21) years of age and older.

(3) Institutionalized members may receive up to one (1) unit every six (6) months.

(4) Prophylaxis is not covered for members under twelve (12) months of age.

405 IAC 5-14-6

Office ofthe Secretary of Family and Social Services; 405 IAC 5-14-6; filed Jul 25, 1997, 4:00p.m.: 20 IR 3320; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; filed Apr 16, 2003, 10:50 a.m.: 26 IR 2863; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA

Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA

Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA

Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA