405 Ind. Admin. Code 10-1-1

Current through August 28, 2024

Section 405 IAC 10-1-1 - Intent and purpose

Authority: IC 12-15-44.5-9

Affected: IC 12-15-44.5

Sec. 1.

(a) Under IC 12-15-44.2, the office hereby adopts and promulgates this article to:

(1) ensure the:

(A) efficient;

(B) economical;

(C) medically reasonable; and

(D) quality; operations of the plan;

(2) support:

(A) healthy behaviors; and

(B) personal responsibility; and

(3) safeguard against:

(A) overutilization;

(B) fraud;

(C) abuse; and

(D) the utilization of services and supplies that are not:

(i) covered under the plan; or

(ii) medically reasonable and necessary.

(b) This article implements the approved federal waiver and expenditure authorities and special terms and conditions established by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.

405 IAC 10-1-1

Filed 5/18/2015, 12:34 p.m.: 20150617-IR-405140339FRA

Readopted filed 8/18/2021, 9:55 a.m.: 20210915-IR-405210197RFA