Indiana § 12-15-11-4 Provider agreement to provide physician services; site visit for
moderate or high categorical risk designees

Indiana Statutes

§ 12-15-11-4 — Provider agreement to provide physician services; site visit for moderate or high categorical risk designees

Indiana·Art. 15 MEDICAID·Ch. 11 Provider Agreements and Competitive Bidding

(a)A provider desiring to participate in the Medicaid program by providing physician services as a managed care provider must enter into a provider agreement with the office or the contractor under IC 12-15-30 to provide Medicaid services.

(b)Before the office may approve a provider agreement, the office shall conduct a pre-enrollment site visit for provider applicants that are designated as moderate or high categorical risks to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450. [Pre-1992 Revision Citation: 12-1-7-15.1(c).]

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(a) A provider desiring to participate in the
Medicaid program by providing physician services as a managed care
provider must enter into a provider agreement with the office or the
contractor under IC 12-15-30 to provide Medicaid services.
(b) Before the office may approve a provider agreement, the office
shall conduct a pre-enrollment site visit for provider applicants that are
designated as moderate or high categorical risks to the Medicaid
program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450.
[Pre-1992 Revision Citation: 12-1-7-15.1(c).]

Indiana § 12-15-11-4 (Provider agreement to provide physician services; site visit for moderate or high categorical risk designees) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.