405 IAC 2-3.2-1 Definitions

Sec. 1. The following definitions apply throughout this rule: (1) "Ambulatory prenatal care services" means outpatient services related to pregnancy, including prenatal services and services related to other conditions that may complicate the pregnancy. (2) "Division" means: (A) the office of the Indiana family and social services administration; or (B) an office that is operated by a contractor of the office to accept Medicaid applications. (3) "Qualified provider" means a provider who: (A) is enrolled in the Indiana Medicaid program; (B) maintains a valid agreement, as prescribed by the office, to make determinations regarding presumptive eligibility; and (C) meets all other requirements set forth in 42 U.S.C. 1396r-1(b)(2). (4) "Verifiable pregnancy" means a pregnancy that has been verified by a medical provider, such as a positive pregnancy test performed by a licensed practitioner or a staff person employed by a qualified provider. Results of self-administered, over-the-counter testing devices, such as home pregnancy tests, cannot be used to verify a pregnancy for purposes of this rule.