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IC 12-15-11-4 — Provider agreement to provide physician services; site visit for moderate or high categorical risk designees

Chapter 11. Provider Agreements and Competitive Bidding

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Sec. 4. (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.

As added by P.L.2-1992, SEC.9. Amended by P.L.197-2013, SEC.13.

Source: official publisher (2026 edition)

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