405 Ind. Admin. Code 14-4-11

Current through October 31, 2024

Section 405 IAC 14-4-11 - Enhanced services

Authority: IC 12-15-1-10

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

Sec. 11.

(a) HCC MCOs are encouraged to cover enhanced programs and services beyond those services covered in HCC that are designed to enhance the general health and quality of life of the MCO's HCC members, including programs addressing preventive health, risk factors, or quality of life.

(b) A program or service offered by the MCO under subsection (a) must:

(1) be approved by the office before the MCO initiates the service or program; and

(2) comply with the requirements related to member incentives and inducements set forth in the MCO's contract with the office and relevant state and federal laws.

405 IAC 14-4-11

Office of the Secretary of Family and Social Services; 405 IAC 14-4-11; filed 8/30/2024, 11:42 a.m.: 20240925-IR-405240180FRA