405 IAC 5-21.8-7
405 IAC 5-21.8-7 BPHC services; general provisions
Cite as Ind. Admin. Code tit. 405, r. 5-21.8-7
Sec. 7. (a) All BPHC services provided to a member must meet the following requirements:
(1) Be supported by the member's level of need.
(2) Be documented in the member's IICP.
(b) Provider reimbursement for BPHC services is subject to, but not limited to, the following:
(1) The member's eligibility for services.
(2) The provider's qualifications and certification.
(3) The scope, limitations, and exclusions of the services.