Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 1 - General Provisions
Section 1-1 - Intent and purpose
Universal Citation: 405 IN Admin Code 1-1
Current through September 18, 2024
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.
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