Sec. 21. (a) Not later than January 1, 2011, the following must be accredited by the National Committee for Quality Assurance or its successor:
(1) A managed care organization that has contracted with the office before July 1, 2008, to provide Medicaid services under a risk based managed care program.
(2) A behavioral health managed care organization that has contracted before July 1, 2008, with a managed care organization described in subdivision (1).
(b) A:
(1) managed care organization that has contracted with the office after June 30, 2008, to provide Medicaid services under a risk based managed care program; or
(2) behavioral health managed care organization that has contracted after June 30, 2008, with a managed care organization described in subdivision (1);
must begin the accreditation process and obtain accreditation by the National Committee for Quality Assurance or its successor at the earliest time that the National Committee for Quality Assurance allows a managed care organization to be accredited.
As added by P.L.113-2008, SEC.6. Amended by P.L.152-2017, SEC.20.
Structure Indiana Code
12-15-12-0.3. "Emergency Medical Condition"
12-15-12-0.5. "Emergency Services"
12-15-12-0.7. "Post-Stabilization Care Services"
12-15-12-0.9. Applicability; Medicaid Law Controlling Over Conflicting Insurance Law
12-15-12-2. Providers From Whom Recipients May Receive Physician Services; Exceptions
12-15-12-3. List of Managed Care Providers Furnished Recipient; Providers Included; Exception
12-15-12-4.5. Managed Care Prescription Drug Program Requirements
12-15-12-7. Providers From Whom Recipients May Obtain Eye Care Services Other Than Surgical Services
12-15-12-8. Providers From Whom Recipients May Obtain Foot Care Services
12-15-12-9. Providers From Whom Recipients May Obtain Psychiatric Services
12-15-12-10. Selection or Assignment of Managed Care Provider; Selection of New Provider; Exception
12-15-12-11. Waiver From Department of Health and Human Services; Implementation of Chapter
12-15-12-12. Payments to Providers
12-15-12-15. Coverage for Emergency Services
12-15-12-17. Coverage for Post-Stabilization Care Services
12-15-12-18. Payment for Emergency Services
12-15-12-18.5. Reimbursement for Emergency Medical Services Provider Organizations; Implementation
12-15-12-20. Child Lead Poisoning Screening
12-15-12-22. Accepting, Receiving, and Processing Electronic Claims
12-15-12-23. Psychiatrist Practicing in Community Mental Health Center