Section 405IAC10-7-11. Self-referral services

   (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 insurer:

(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 insurer 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.

(Office of the Secretary of Family and Social Services; 405 IAC 10-7-11; filed May 18, 2015, 12:34 p.m.: 20150617-IR-405140339FRA)