Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
Article 405IAC5. MEDICAID SERVICES |
Rule 405IAC5-6. Restricted Utilization |
Section 405IAC5-6-2. Exceptions; emergency situations and referrals
Latest version.
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(a) A provider other than the one to whom the member is restricted may provide treatment to the member without a referral from the authorized provider if the diagnosis is an emergency diagnosis.
(b) A provider other than the one to whom the member is restricted may provide services to the member if the authorized provider has referred the member. (Office of the Secretary of Family and Social Services; 405 IAC 5-6-2; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3309; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA)