405 IAC 10-7-11
405 IAC 10-7-11 Self-referral services
Cite as Ind. Admin. Code tit. 405, r. 10-7-11
Sec. 11. (a) A member may receive the following covered services without a referral from the member's primary medical provider or prior
authorization or precertification from the member's managed care organization:
(1) Family planning services.
(2) Emergency services.
(b) A member may receive the following services without a referral from the member's primary medical provider, provided the service is
a covered service under such member's benefits package and subject to any requirements established by the managed care organization regarding
the use of in-network providers:
(1) Psychiatric services provided by a provider licensed under IC 12-15-11.
(2) Behavioral health services.
(3) Immunization services.
(4) Diabetes self-management training services, as set forth in IC 27-8-14.5-6.
(5) Chiropractic services.
(6) Eye care services, except for surgical services on the eye.
(7) Podiatric services.
(8) Urgent care services.