Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
Article 405IAC11. CHILDREN'S HEALTH INSURANCE PROGRAM GENERAL PROVISIONS; PROVIDERS |
Rule 405IAC11-1. Definitions |
Section 405IAC11-1-15. "Primary care case management" or "PCCM" defined
-
"Primary care case management" or "PCCM" means a delivery system for health care in which members are linked to a PMP who contracts directly with the office. The PMP is responsible for coordinating designated covered services, and he or she, as well as all other providers rendering services in this delivery system, is reimbursed on a fee-for-service basis. (Office of the Secretary of Family and Social Services; 405 IAC 11-1-15; filed May 3, 2000, 2:02 p.m.: 23 IR 2226; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA) NOTE: Transferred from the Office of the Children's Health Insurance Program (407 IAC 1-1-15) to the Office of the Secretary of Family and Social Services (405 IAC 11-1-15) by P.L.35-2016, SECTION 53, effective March 21, 2016.