Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 13 - HIP Workforce Bridge Account
Section 13-1 - HIP Workforce Bridge Account program definitions
Universal Citation: 405 IN Admin Code 13-1
Current through September 18, 2024
Authority: IC 12-15-44.5-9
Affected: IC 12-15-30.5-3; IC 12-15-44.5; IC 25-10-1-1
Sec. 1.
The following definitions apply to this rule:
(1) "Covered service" has the meaning set forth in 405 IAC 10-2-1, but shall exclude the following services:
(A)
Noncovered services, which has the meaning set forth in
405 IAC
5-29-1.
(B) Services provided in a long term care
facility, which has the meaning set forth in
405 IAC 1-20-1.
(C) Hospice, which has the meaning set forth
in
405 IAC
5-2-10.1.
(D) Medicaid rehabilitation option services,
which has the meaning set forth in
405 IAC
5-21.5-1.
(E) Nonemergency medical transportation,
which has the meaning set forth in IC 12-15-30.5-3.
(F) Foot orthotics.
(G) Chiropractic specialty, which means those
services rendered within the scope of chiropractic, which has the meaning set
forth in IC 25-10-1-1.
(H) Case
management billed as Healthcare Common Procedure Coding System (HCPCS) code
T1016.
(2) "Participant" means an individual who has:
(A) opted in, via
the procedures specified in section 3 of this rule; and
(B) been enrolled in the program by the
office under the limitations specified in section 7 of this rule.
(3) "Program" means the HIP Workforce Bridge Account program, as established by the U.S. Department of Health and Human Services approved Section 1115 demonstration waiver.
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