440 Ind. Admin. Code 4.3-2-4.5

Current through January 8, 2025
Section 440 IAC 4.3-2-4.5 - Temporary certification

Authority: IC 12-21-2-3; IC 12-21-2-8; IC 12-21-5-1.5

Affected: IC 12-21-2-8

Sec. 4.5.

(a) This section is applicable to an organization that is not yet accredited.
(b) If an organization is not yet accredited by an approved accrediting agency at the time of the submission of the application, but the entity has applied to become accredited prior to the submittal of the application and meets the requirements set forth in section 3(b)(2) through 3(f) of this rule, the entity is eligible to contract with the division as a temporary managed care provider for the specific population approved.
(c) When a contract has been issued by the division, a document certifying the entity as a managed care provider with a temporary certification shall be issued by the division.
(d) The temporary certification as a managed care provider shall be valid for no longer than twelve (12) months.
(e) The division may renew the temporary certification for an additional twelve (12) months if the applicant meets minimum criteria for certification.
(f) Temporary certification shall not exceed a total of twenty-four (24) months.
(g) If temporary certification is denied, the organization may not reapply to be a certified managed care provider until the next scheduled application period.
(h) If an entity has not been accredited at the end of twenty-four (24) months from the initial issuance of temporary certification, the entity may not reapply to become a managed care provider until the next scheduled application period after the lapse of one (1) year from the end of the twenty-four (24) months.

440 IAC 4.3-2-4.5

Division of Mental Health and Addiction; 440 IAC 4.3-2-4.5; filed Mar 13, 2000, 7:44 a.m.: 23 IR 1988; readopted filed May 10, 2001, 2:30 p.m.: 24 IR 3235; readopted filed Apr 7, 2008, 3:40 p.m.: 20080507-IR-440070745RFA; Readopted filed 8/11/2014, 11:21 a.m.: 20140910-IR-440140240RFA
Readopted filed 11/9/2020, 3:09 p.m.: 20201209-IR-440200502RFA