Indiana Administrative Code
Title 407 - OFFICE OF THE CHILDREN'S HEALTH INSURANCE PROGRAM
Article 3 - BENEFITS AND MEDICAL POLICY
Rule 1 - General Provisions
Section 1-1 - Intent and purpose
Universal Citation: 407 IN Admin Code 1-1
Current through September 18, 2024
Authority: IC 12-17.6-2-11
Affected: IC 12-17.6-4
Sec. 1.
(a) Under IC 12-17.6, Title XXI of the federal Social Security Act, the office of the children's health insurance program hereby adopts and promulgates this article to:
(1) interpret and implement the provisions
of IC 12-17.6-4;
(2) ensure the
efficient, economical, and medically reasonable operations of a children's
health insurance program (referred to as CHIP) in Indiana; and
(3) safeguard against overutilization, fraud,
abuse, and utilization and provision of services and supplies that are not
medically reasonable or medically necessary and are not covered by the CHIP
benefits package.
(b) The purposes for this article are accomplished in this article by using, to the extent possible, the same coverage criteria as that used by the Medicaid managed care program, for those services included in the CHIP benefit package, except as otherwise set forth in this article.
Disclaimer: These regulations may not be the most recent version. Indiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
