IC 12-8-6
Chapter 6. Office of Medicaid Policy and Planning
IC 12-8-6-1 Establishment
Sec. 1. The office of Medicaid policy and planning is established. As added by P.L.2-1992, SEC.2.
IC 12-8-6-2 Administrator
Sec. 2. The secretary shall appoint an administrator responsible
for management of the office. As added by P.L.2-1992, SEC.2.
IC 12-8-6-3 Administration of state program
Sec. 3. The office is designated as the single state agency for
administration of the state Medicaid program under IC 12-15. As added by P.L.2-1992, SEC.2.
IC 12-8-6-4 Development and coordination of state policy
Sec. 4. The office shall develop and coordinate Medicaid policy
for the state. As added by P.L.2-1992, SEC.2.
IC 12-8-6-5 Rules
Sec. 5. The secretary may adopt rules under IC 4-22-2 to
implement this chapter and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-6 Administrative review; rules
Sec. 6. (a) For purposes of IC 4-21.5, the secretary is the ultimate
authority for the state Medicaid program.
(b) The secretary shall adopt rules under IC 4-22-2 to specify any
additional necessary procedures for administrative review of an
agency action under IC 4-21.5 and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-7 Written memorandum of understanding with division of mental
health; contents
Sec. 7. The office and the division of mental health and addiction
shall develop a written memorandum of understanding that provides
the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a mental illness.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for mental health services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a mental illness
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a mental illness.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a mental illness.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of mental health services. As added by P.L.2-1992, SEC.2. Amended by P.L.215-2001, SEC.32;
P.L.99-2007, SEC.56.
IC 12-8-6-8 Written memorandum of understanding with division of disability
and rehabilitative services; content
Sec. 8. The office and the division of disability and rehabilitative
services shall develop a written memorandum of understanding that
provides the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a developmental disability and
long term care recipients.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for developmental disability and long
term care services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a developmental
disability and long term care recipients cannot be excluded from
services on the basis of diagnosis unless these services are
otherwise provided and reimbursed under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a developmental disability and
long term care recipients.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a
developmental disability and long term care recipients.
(9) That the office, with the assistance of the division, shall
apply for waivers from the United States Department of Health
and Human Services to fund community and home based long
term care services as alternatives to institutionalization.
(10) Policies to facilitate communication between the office and
the division.
(11) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of developmental disability or long term
care services. As added by P.L.2-1992, SEC.2. Amended by P.L.4-1993, SEC.29;
P.L.5-1993, SEC.42; P.L.112-1997, SEC.1; P.L.141-2006, SEC.28;
P.L.99-2007, SEC.57.
IC 12-8-6-9 Written memorandum of understanding with the office, the
division of family resources, and the department of child services
Sec. 9. The office, the division of family resources, and the
department of child services shall develop a written memorandum of
understanding that provides the following:
(1) Program responsibilities for the provision of care and
treatment for recipients served by the division.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for services administered by the
division.
(5) That the division shall recommend options and services to
be reimbursed under the Medicaid state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., recipients served by the division
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for recipients served by the division.
(8) That the division shall develop rate setting policies for
medical assistance services administered by the division.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of services. As added by P.L.2-1992, SEC.2. Amended by P.L.145-2006, SEC.65.
IC 12-8-6-10 Expiration of chapter
Sec. 10. This chapter expires June 30, 2011. As added by P.L.2-1992, SEC.2. Amended by P.L.153-1995, SEC.6;
P.L.108-1997, SEC.4; P.L.7-2000, SEC.4; P.L.291-2001, SEC.214;
P.L.83-2002, SEC.3; P.L.243-2003, SEC.6; P.L.234-2005, SEC.17;
P.L.113-2008, SEC.4; P.L.182-2009(ss), SEC.296.
IC 12-8-6
Chapter 6. Office of Medicaid Policy and Planning
IC 12-8-6-1 Establishment
Sec. 1. The office of Medicaid policy and planning is established. As added by P.L.2-1992, SEC.2.
IC 12-8-6-2 Administrator
Sec. 2. The secretary shall appoint an administrator responsible
for management of the office. As added by P.L.2-1992, SEC.2.
IC 12-8-6-3 Administration of state program
Sec. 3. The office is designated as the single state agency for
administration of the state Medicaid program under IC 12-15. As added by P.L.2-1992, SEC.2.
IC 12-8-6-4 Development and coordination of state policy
Sec. 4. The office shall develop and coordinate Medicaid policy
for the state. As added by P.L.2-1992, SEC.2.
IC 12-8-6-5 Rules
Sec. 5. The secretary may adopt rules under IC 4-22-2 to
implement this chapter and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-6 Administrative review; rules
Sec. 6. (a) For purposes of IC 4-21.5, the secretary is the ultimate
authority for the state Medicaid program.
(b) The secretary shall adopt rules under IC 4-22-2 to specify any
additional necessary procedures for administrative review of an
agency action under IC 4-21.5 and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-7 Written memorandum of understanding with division of mental
health; contents
Sec. 7. The office and the division of mental health and addiction
shall develop a written memorandum of understanding that provides
the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a mental illness.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for mental health services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a mental illness
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a mental illness.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a mental illness.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of mental health services. As added by P.L.2-1992, SEC.2. Amended by P.L.215-2001, SEC.32;
P.L.99-2007, SEC.56.
IC 12-8-6-8 Written memorandum of understanding with division of disability
and rehabilitative services; content
Sec. 8. The office and the division of disability and rehabilitative
services shall develop a written memorandum of understanding that
provides the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a developmental disability and
long term care recipients.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for developmental disability and long
term care services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a developmental
disability and long term care recipients cannot be excluded from
services on the basis of diagnosis unless these services are
otherwise provided and reimbursed under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a developmental disability and
long term care recipients.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a
developmental disability and long term care recipients.
(9) That the office, with the assistance of the division, shall
apply for waivers from the United States Department of Health
and Human Services to fund community and home based long
term care services as alternatives to institutionalization.
(10) Policies to facilitate communication between the office and
the division.
(11) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of developmental disability or long term
care services. As added by P.L.2-1992, SEC.2. Amended by P.L.4-1993, SEC.29;
P.L.5-1993, SEC.42; P.L.112-1997, SEC.1; P.L.141-2006, SEC.28;
P.L.99-2007, SEC.57.
IC 12-8-6-9 Written memorandum of understanding with the office, the
division of family resources, and the department of child services
Sec. 9. The office, the division of family resources, and the
department of child services shall develop a written memorandum of
understanding that provides the following:
(1) Program responsibilities for the provision of care and
treatment for recipients served by the division.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for services administered by the
division.
(5) That the division shall recommend options and services to
be reimbursed under the Medicaid state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., recipients served by the division
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for recipients served by the division.
(8) That the division shall develop rate setting policies for
medical assistance services administered by the division.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of services. As added by P.L.2-1992, SEC.2. Amended by P.L.145-2006, SEC.65.
IC 12-8-6-10 Expiration of chapter
Sec. 10. This chapter expires June 30, 2011. As added by P.L.2-1992, SEC.2. Amended by P.L.153-1995, SEC.6;
P.L.108-1997, SEC.4; P.L.7-2000, SEC.4; P.L.291-2001, SEC.214;
P.L.83-2002, SEC.3; P.L.243-2003, SEC.6; P.L.234-2005, SEC.17;
P.L.113-2008, SEC.4; P.L.182-2009(ss), SEC.296.
IC 12-8-6
Chapter 6. Office of Medicaid Policy and Planning
IC 12-8-6-1 Establishment
Sec. 1. The office of Medicaid policy and planning is established. As added by P.L.2-1992, SEC.2.
IC 12-8-6-2 Administrator
Sec. 2. The secretary shall appoint an administrator responsible
for management of the office. As added by P.L.2-1992, SEC.2.
IC 12-8-6-3 Administration of state program
Sec. 3. The office is designated as the single state agency for
administration of the state Medicaid program under IC 12-15. As added by P.L.2-1992, SEC.2.
IC 12-8-6-4 Development and coordination of state policy
Sec. 4. The office shall develop and coordinate Medicaid policy
for the state. As added by P.L.2-1992, SEC.2.
IC 12-8-6-5 Rules
Sec. 5. The secretary may adopt rules under IC 4-22-2 to
implement this chapter and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-6 Administrative review; rules
Sec. 6. (a) For purposes of IC 4-21.5, the secretary is the ultimate
authority for the state Medicaid program.
(b) The secretary shall adopt rules under IC 4-22-2 to specify any
additional necessary procedures for administrative review of an
agency action under IC 4-21.5 and the state Medicaid program. As added by P.L.2-1992, SEC.2.
IC 12-8-6-7 Written memorandum of understanding with division of mental
health; contents
Sec. 7. The office and the division of mental health and addiction
shall develop a written memorandum of understanding that provides
the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a mental illness.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for mental health services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a mental illness
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a mental illness.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a mental illness.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of mental health services. As added by P.L.2-1992, SEC.2. Amended by P.L.215-2001, SEC.32;
P.L.99-2007, SEC.56.
IC 12-8-6-8 Written memorandum of understanding with division of disability
and rehabilitative services; content
Sec. 8. The office and the division of disability and rehabilitative
services shall develop a written memorandum of understanding that
provides the following:
(1) Program responsibilities for the provision of care and
treatment for individuals with a developmental disability and
long term care recipients.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for developmental disability and long
term care services.
(5) That the division shall recommend options and services to
be reimbursed under the state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., individuals with a developmental
disability and long term care recipients cannot be excluded from
services on the basis of diagnosis unless these services are
otherwise provided and reimbursed under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for individuals with a developmental disability and
long term care recipients.
(8) That the division shall develop rate setting policies for
medical assistance services for individuals with a
developmental disability and long term care recipients.
(9) That the office, with the assistance of the division, shall
apply for waivers from the United States Department of Health
and Human Services to fund community and home based long
term care services as alternatives to institutionalization.
(10) Policies to facilitate communication between the office and
the division.
(11) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of developmental disability or long term
care services. As added by P.L.2-1992, SEC.2. Amended by P.L.4-1993, SEC.29;
P.L.5-1993, SEC.42; P.L.112-1997, SEC.1; P.L.141-2006, SEC.28;
P.L.99-2007, SEC.57.
IC 12-8-6-9 Written memorandum of understanding with the office, the
division of family resources, and the department of child services
Sec. 9. The office, the division of family resources, and the
department of child services shall develop a written memorandum of
understanding that provides the following:
(1) Program responsibilities for the provision of care and
treatment for recipients served by the division.
(2) Responsibilities to educate and inform vendors of the proper
billing procedures.
(3) Responsibilities in administering the state plan.
(4) Responsibilities for Medicaid fiscal and quality
accountability and audits for services administered by the
division.
(5) That the division shall recommend options and services to
be reimbursed under the Medicaid state plan.
(6) That the office and the division agree that, within the limits
of 42 U.S.C. 1396 et seq., recipients served by the division
cannot be excluded from services on the basis of diagnosis
unless these services are otherwise provided and reimbursed
under the state plan.
(7) That the office shall seek review and comment from the
division before the adoption of rules or standards that may
affect the service, programs, or providers of medical assistance
services for recipients served by the division.
(8) That the division shall develop rate setting policies for
medical assistance services administered by the division.
(9) Policies to facilitate communication between the office and
the division.
(10) Any additional provisions that enhance communication
between the office and the division or facilitate more efficient
or effective delivery of services. As added by P.L.2-1992, SEC.2. Amended by P.L.145-2006, SEC.65.
IC 12-8-6-10 Expiration of chapter
Sec. 10. This chapter expires June 30, 2011. As added by P.L.2-1992, SEC.2. Amended by P.L.153-1995, SEC.6;
P.L.108-1997, SEC.4; P.L.7-2000, SEC.4; P.L.291-2001, SEC.214;
P.L.83-2002, SEC.3; P.L.243-2003, SEC.6; P.L.234-2005, SEC.17;
P.L.113-2008, SEC.4; P.L.182-2009(ss), SEC.296.
