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§ 12-15-11-4 — Indiana Law | CourtGPT
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  2. Laws/
  3. Indiana/
  4. Title 12 - Human Services/
  5. Article 15 - Medicaid/
  6. Chapter 11 - Provider Agreements and Competitive Bidding12-15-11-1. Physician Services Defined/
  7. § 12-15-11-4
Indiana Legal Code

§ 12-15-11-4

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(a) A provider desiring to participate in the Medicaid program by providing physician services as a managed care provider must enter into a provider agreement with the office or the contractor under IC 12-15-30 to provide Medicaid services.(b) Before the office may approve a provider agreement, the office shall conduct a pre-enrollment site visit for provider applicants that are designated as moderate or high categorical risks to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450.[Pre-1992 Revision Citation: 12-1-7-15.1(c).]As added by P.L.2-1992, SEC.9. Amended by P.L.197-2013, SEC.13.