405 Ind. Admin. Code 14-6-6

Current through December 25, 2024

Section 405 IAC 14-6-6 - Managed care carve-outs

Authority: IC 12-15-1-10

Affected: IC 12-15-5; IC 12-15-12

Sec. 6.

Individuals enrolled in PathWays shall receive the covered services described in section 5 of this rule through a capitated managed care arrangement through the MCO in which the individual is enrolled, the following covered services, which are delivered outside the capitated managed care arrangement and delivered through FFS:

(1) Medicaid rehabilitation option at 405 IAC 5-21.5.

(2) Adult mental health habilitation services at 405 IAC 5-21.6.

(3) Behavioral and primary health care coordination at 405 IAC 5-21.8.

(4) Covered nonlegend, over-the-counter, drugs, as set forth at 405 IAC 5-24.

405 IAC 14-6-6

Office of the Secretary of Family and Social Services; 405 IAC 14-6-6; filed 8/30/2024, 11:42 a.m.: 20240925-IR-405240180FRA