405 Ind. Admin. Code 5-21.8-7

Current through October 31, 2024

Section 405 IAC 5-21.8-7 - BPHC services; general provisions

Authority: IC 12-8-6.5-5; IC 12-15

Affected: IC 12-7-2-40.6; IC 12-13-7-3; IC 12-15-2-3.5; IC 12-29-2; IC 25-23-1-1; IC 25-23.6-10.5; IC 25-27.5-5

Sec. 7.

(a) All BPHC services provided to a member must meet the following requirements:

(1) Be supported by the member's level of need.

(2) Be documented in the member's IICP.

(b) Provider reimbursement for BPHC services is subject to, but not limited to, the following:

(1) The member's eligibility for services.

(2) The provider's qualifications and certification.

(3) The scope, limitations, and exclusions of the services.

405 IAC 5-21.8-7

Office of the Secretary of Family and Social Services; 405 IAC 5-21.8-7; filed Apr 8, 2014, 12:41 p.m.: 20140507-IR-405130530FRA

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