Section 407 IAC 3-3-1 - Covered servicesAuthority: IC 12-17.6-2-11
Affected: IC 12-17.6
Sec. 1.
(a) The following services will be covered by CHIP using the same coverage criteria, limitations, and procedures, including prior authorization, as Medicaid under rules adopted by the secretary at 405 IAC 5 unless a service is listed as noncovered in 407 IAC 3-13:(1) Physician services, except that office visits shall be reimbursed in accordance with 407 IAC 3-5-1.(2) Inpatient hospital, except that inpatient rehabilitation services are limited to fifty (50) days per calendar year.(4) Laboratory and radiology.(5) Certified nurse practitioner.(6) Family planning services and supplies.(7) Certified nurse-midwife.(9) Home health and clinic services.(12) Diabetes self-management training.(13) Food supplements, nutritional supplements, and infant formulas.(14) Restricted utilization.(15) Consultations and second opinions.(b) The following services will be covered by CHIP using the coverage criteria, limitations, and procedures described in 407 IAC 3-4 through 407 IAC 3-12: (1) Early intervention services.(2) Evaluation and management services.(3) Medical supplies and equipment.(4) Mental health and substance abuse services.(9) Chiropractic services.Office of the Children's Health Insurance Program; 407 IAC 3-3-1; filed May 3, 2000, 2:02 p.m.: 23 IR 2235; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA