Indiana Administrative Code
Title 410 - INDIANA DEPARTMENT OF HEALTH
Article 3.2 - CHILDREN WITH SPECIAL HEALTH CARE NEEDS
Rule 7 - Delivery Systems
Section 7-3 - Limited health care services included in the health care service package
Current through March 20, 2024
Authority: IC 16-35-2-7
Affected: IC 16-35-2
Sec. 3.
(a) The availability and provision of health care services included in the limited service component is contingent upon the availability of program funding.
(b) Available funds may be utilized to purchase insurance or pay for one (1) or more of the following health care services authorized as appropriate to the eligible medical condition or conditions of an enrolled child:
(c) The CSHCN program shall only provide or pay for health care services or insurance set forth in subsection (a) or (b) if the director has approved the health care services as necessary or appropriate for the conditions, as listed under subsection (d), (e), or (f).
(d) Level I eligible medical conditions are defined in 410 IAC 3.2-6-2 and shall include the following:
(e) Level II eligible medical conditions are defined in 410 IAC 3.2-6-2 and shall include the following:
(f) Level III eligible medical conditions are defined in 410 IAC 3.2-6-2 and shall include the following:
(g) The director shall have the authority to determine medical eligibility and the services or insurance to be provided under the program.