Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 5 - MEDICAID SERVICES
Rule 405 IAC 5-9 - Evaluation and Management Services
Section 405 IAC 5-9-1 - Limitations

405 Ind. Admin. Code 5-9-1

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Current through December 4, 2024
Section 405 IAC 5-9-1 - Limitations

Authority: IC 12-15

Affected: IC 12-13-7-3

Sec. 1.

Medicaid reimbursement is available for office visits limited to a maximum of thirty (30) per calendar year, per member, per provider without prior authorization and subject to the restrictions in section 2 of this rule.

405 IAC 5-9-1

Office of the Secretary of Family and Social Services; 405 IAC 5-9-1; filed Jul 25, 1997, 4:00p.m.: 20 IR 3310; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; filed Feb 14, 2005, 10:25 a.m.: 28 IR 2132; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; filed Nov 5, 2010, 2:10 p.m.: 20101201-IR-405090928FRA; 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