Indiana Code
Chapter 1.3. Medicaid Waivers and Plan Amendments
12-15-1.3-21. Medicaid Rehabilitation Option Services; State Plan Amendment for Reimbursement in School Setting

Sec. 21. (a) As used in this section, "Medicaid rehabilitation option services" means clinical behavioral health services provided to recipients and families of recipients living in the community who need aid intermittently for emotional disturbances, mental illness, and addiction as part of the Medicaid rehabilitation option program.
(b) Before December 1, 2019, the office may apply to the United States Department of Health and Human Services for a state plan amendment that would require Medicaid reimbursement by:
(1) the office;
(2) a managed care organization that has contracted with the office; or
(3) a contractor of the office;
for eligible Medicaid rehabilitation option services in a school setting for any Medicaid recipient who qualifies for Medicaid rehabilitation option services by meeting specific diagnosis and level of need criteria under an assessment tool approved by the division of mental health and addiction or who submits prior authorization for Medicaid rehabilitation option services.
(c) If the office receives approval for the state plan amendment applied for under this section, the office shall comply with IC 12-15-5-19.
As added by P.L.246-2019, SEC.2.

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