Section 410IAC3.2-7-1. Health care service delivery system

   (a) The director shall select and approve physicians and other persons to provide health care services to children enrolled in the CSHCN program.

  (b) To enable the child to receive health care services in a setting that is most appropriate for the type of medical condition affecting the child, the director may assign a child enrolled in the CSHCN program to receive the eligible health care services set forth in sections 2 and 3 of this rule from one (1) or more approved primary care physicians, medical specialists, or other health care providers.

  (c) The CSHCN program shall only pay for the health care services set forth in section 2 of this rule if such health care services are provided in the state of Indiana.

  (d) Health care services set forth in section 3 of this rule may be provided outside the state of Indiana if the director determines that the specific health care service is not readily available to a child within the state of Indiana. (Indiana State Department of Health; 410 IAC 3.2-7-1; filed Apr 12, 1993, 5:00 p.m.: 16 IR 2179; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Sep 11, 2013, 3:19 p.m.: 20131009-IR-410130346RFA)