Section 12-15-11-4 - Provider agreement to provide physician services; site visit for moderate or high categorical risk designees(a) A provider desiring to participate in the Medicaid program by providing physician services as a managed care provider must enter into a provider agreement with the office or the contractor under IC 12-15-30 to provide Medicaid services.(b) Before the office may approve a provider agreement, the office shall conduct a pre-enrollment site visit for provider applicants that are designated as moderate or high categorical risks to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450.Pre-1992 Revision Citation: 12-1-7-15.1(c).
Amended by P.L. 197-2013, SEC. 13, eff. 7/1/2013.As added by P.L. 2-1992, SEC.9.