440 Ind. Admin. Code 8-1-9

Current through November 6, 2024
Section 440 IAC 8-1-9 - "Managed care provider" defined

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

Affected: IC 12-7-2; IC 12-21-2-7; IC 23-17

Sec. 9.

"Managed care provider" means an organization:

(1) that:
(A) for mental health services, is defined under 42 U.S.C. 300x-2(c); or
(B) provides addiction services;
(2) that has entered into a provider agreement with the division under IC 12-21-2-7 to provide a continuum of care in the least restrictive, most appropriate setting; and
(3) that is operated by at least one (1) of the following:
(A) A city, town, county, or other political subdivision of Indiana.
(B) An agency of Indiana or of the United States.
(C) A political subdivision of another state.
(D) A hospital owned or operated by:
(i) a unit of government; or
(ii) a building authority that is organized for the purpose of constructing facilities to be leased to units of government.
(E) A corporation incorporated under IC 23-7-1.1 (before its repeal August 1, 1991) or IC 23-17.
(F) A nonprofit corporation incorporated in another state.
(G) A university or college.

440 IAC 8-1-9

Division of Mental Health and Addiction; 440 IAC 8-1-9; filed Sep 8, 2000, 10:12 a.m.: 24 IR 371; 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