405 IAC 14-6-6 Managed care carve-outs

Sec. 6. Individuals enrolled in PathWays shall receive the covered services described in section 5 of this rule through a capitated managed care arrangement through the MCO in which the individual is enrolled, the following covered services, which are delivered outside the capitated managed care arrangement and delivered through FFS: (1) Medicaid rehabilitation option at 405 IAC 5-21.5. (2) Adult mental health habilitation services at 405 IAC 5-21.6. (3) Behavioral and primary health care coordination at 405 IAC 5-21.8. (4) Covered nonlegend, over-the-counter, drugs, as set forth at 405 IAC 5-24.