Indiana · Regulations
Rule 2 — Definitions; All Managed Care Programs
61 sections
61 sections
- 405 IAC 14-2-1405 IAC 14-2-1 Applicability
- 405 IAC 14-2-2405 IAC 14-2-2 "Adverse action" defined
- 405 IAC 14-2-3405 IAC 14-2-3 "Aligned enrollment" defined
- 405 IAC 14-2-4405 IAC 14-2-4 "American Indian/Alaska Native" defined
- 405 IAC 14-2-5405 IAC 14-2-5 "Appeal" defined
- 405 IAC 14-2-6405 IAC 14-2-6 "Capitated payment" defined
- 405 IAC 14-2-7405 IAC 14-2-7 "CHIP" defined
- 405 IAC 14-2-8405 IAC 14-2-8 "Choice counseling" defined
- 405 IAC 14-2-9405 IAC 14-2-9 "Claim" defined
- 405 IAC 14-2-10405 IAC 14-2-10 "Clean claim" defined
- 405 IAC 14-2-11405 IAC 14-2-11 "Code of Federal Regulations" or "CFR" defined
- 405 IAC 14-2-12405 IAC 14-2-12 "Contract" defined
- 405 IAC 14-2-13405 IAC 14-2-13 "Covered service" defined
- 405 IAC 14-2-14405 IAC 14-2-14 "Credentialing" defined
- 405 IAC 14-2-15405 IAC 14-2-15 "Day" defined
- 405 IAC 14-2-16405 IAC 14-2-16 "Disenrollment" defined
- 405 IAC 14-2-17405 IAC 14-2-17 "Dual eligible member" defined
- 405 IAC 14-2-18405 IAC 14-2-18 "Emergency medical condition" defined
- 405 IAC 14-2-19405 IAC 14-2-19 "Emergency services" defined
- 405 IAC 14-2-20405 IAC 14-2-20 "Enrollee" defined
- 405 IAC 14-2-21405 IAC 14-2-21 "Enrollment broker" defined
- 405 IAC 14-2-22405 IAC 14-2-22 "Federally qualified health center" or "FQHC" defined
- 405 IAC 14-2-23405 IAC 14-2-23 "Fee-for-service" or "FFS" defined
- 405 IAC 14-2-24405 IAC 14-2-24 "Grievance" defined
- 405 IAC 14-2-25405 IAC 14-2-25 "Health and wellness waiver" or "H&W waiver" defined
- 405 IAC 14-2-26405 IAC 14-2-26 "Health maintenance organization" or "HMO" defined
- 405 IAC 14-2-27405 IAC 14-2-27 "Healthy Indiana Plan" or "HIP" defined
- 405 IAC 14-2-28405 IAC 14-2-28 "Home and community based services" or "HCBS" defined
- 405 IAC 14-2-29405 IAC 14-2-29 "Hoosier Care Connect" or "HCC" defined
- 405 IAC 14-2-30405 IAC 14-2-30 "Hoosier Healthwise" or "HHW" defined
- 405 IAC 14-2-31405 IAC 14-2-31 "Indiana health coverage programs" or "IHCP" defined
- 405 IAC 14-2-32405 IAC 14-2-32 "Intermediate care facility for individuals with intellectual disabilities" or "ICF-IID" defined
- 405 IAC 14-2-33405 IAC 14-2-33 "Level of care assessor" or "LOCA" defined
- 405 IAC 14-2-34405 IAC 14-2-34 "Managed care organization" or "MCO" defined
- 405 IAC 14-2-35405 IAC 14-2-35 "Managed care program" defined
- 405 IAC 14-2-36405 IAC 14-2-36 "Managed long term services and supports" or "MLTSS" defined
- 405 IAC 14-2-37405 IAC 14-2-37 "Mandatory enrollment" defined
- 405 IAC 14-2-38405 IAC 14-2-38 "Medicaid rehabilitation option" or "MRO" defined
- 405 IAC 14-2-39405 IAC 14-2-39 "MED Works" defined
- 405 IAC 14-2-40405 IAC 14-2-40 "Member" defined
- 405 IAC 14-2-41405 IAC 14-2-41 "PathWays" or "Indiana PathWays for Aging" defined
- 405 IAC 14-2-42405 IAC 14-2-42 "Primary medical provider" or "PMP" defined
- 405 IAC 14-2-43405 IAC 14-2-43 "Poststabilization care services" defined
- 405 IAC 14-2-44405 IAC 14-2-44 "Prior authorization" defined
- 405 IAC 14-2-45405 IAC 14-2-45 "Qualified disabled working individual" or "QDWI" defined
- 405 IAC 14-2-46405 IAC 14-2-46 "Qualified Medicare Beneficiary-Also" or "QMB-Also" defined
- 405 IAC 14-2-47405 IAC 14-2-47 "Qualified Medicare beneficiary dual eligible member" or "QMB DUAL" defined
- 405 IAC 14-2-48405 IAC 14-2-48 "Qualified Medicare beneficiary only" or "QMB Only" defined
- 405 IAC 14-2-49405 IAC 14-2-49 "Qualified Medicare beneficiary plus" or "QMB Plus" defined
- 405 IAC 14-2-50405 IAC 14-2-50 "Qualifying individual" or "QI" defined
- 405 IAC 14-2-51405 IAC 14-2-51 "Referral" defined
- 405 IAC 14-2-52405 IAC 14-2-52 "Self-referral" defined
- 405 IAC 14-2-53405 IAC 14-2-53 "Specified low income Medicare beneficiary only" or "SLMB Only" defined
- 405 IAC 14-2-54405 IAC 14-2-54 "Specified low income Medicare beneficiary plus" or "SLMB+" defined
- 405 IAC 14-2-55405 IAC 14-2-55 "State plan" defined
- 405 IAC 14-2-56405 IAC 14-2-56 "Supplemental security income" or "SSI" defined
- 405 IAC 14-2-57405 IAC 14-2-57 Enrollment area
- 405 IAC 14-2-58405 IAC 14-2-58 Grievances and appeals
- 405 IAC 14-2-59405 IAC 14-2-59 Enrollment and disenrollment
- 405 IAC 14-2-60405 IAC 14-2-60 PMP selection and assignment
- 405 IAC 14-2-61405 IAC 14-2-61 Drug coverage