Medicaid Strategy and Health Policy Resources
- United States Code for Medicaid. 42 U.S.C 1396a
- Regulation for Medicaid State Plans. 42 C.F.R. 431 State Organization
- Medicaid Payment Regulations. 42 C.F.R. 447 Payment for Services
- Medicaid Audits and Sanctions. 42 C.F.R. 455 Program Integrity
- Federal Inspector General Authorities. 42 C.F.R. 1001 OIG/Program Integrity
- Federal Inspector General Exclusion Authority. 42 C.F.R. 1002 Exclusions
- Federal Inspector General Monetary Penalties. 42 C.F.R. 1003 Civil Monetary Penalties
- CMS Website: https://www.cms.gov/
- Medicaid Managed Care: https://www.medicaid.gov/medicaid/managed-care/index.html
- Section 1115 Waivers: https://www.medicaid.gov/medicaid/section-1115-demo/index.html
- Federal Medicaid Regulations: https://www.ecfr.gov/cgi-bin/text-idx?SID=a993128598da0da0e0ef4ff97e1b847a&mc=true&tpl=/ecfrbrowse/Title42/42CIVsubchapC.tpl
- Federal Medicare Regulations: https://www.ecfr.gov/cgi-bin/text-idx?SID=806824910b9d4dc07be76f4f5376933f&mc=true&tpl=/ecfrbrowse/Title42/42CIVsubchapB.tpl
- Indiana Medicaid Provider Website: http://provider.indianamedicaid.com/
- Indiana Medicaid State Plan: http://provider.indianamedicaid.com/general-provider-services/state-plan.aspx
- Indiana Medicaid Regulations: http://www.in.gov/legislative/iac/iac_title?iact=405
- Indiana Medicaid Statutes. Title 12, Indiana Code. http://iga.in.gov/legislative/laws/2018/ic/titles/012
- Indiana Register Documents: http://www.in.gov/legislative/register/irtoc.htm
- Office of Medicaid Policy and Planning Rules. Title 405, Indiana Administrative Code: http://www.in.gov/legislative/iac/iac_title?iact=405
- Division of Mental Health and Addiction Rules. Title 440, Indiana Administrative Code: http://www.in.gov/legislative/iac/iac_title?iact=440
- Medical Licensing Board Rules. Title 844, Indiana Administrative Code: http://www.in.gov/legislative/iac/iac_title?iact=844
- Indiana State Board of Nursing Rules. Title 848, Indiana Administrative Code: http://www.in.gov/legislative/iac/iac_title?iact=848
- Indiana Board of Pharmacy Rules. Title 856, Indiana Administrative Code: http://www.in.gov/legislative/iac/iac_title?iact=856
- IHCP Bulletins and Banners: https://www.in.gov/medicaid/providers/737.htm
- IHCP Provider Enrollment: https://www.in.gov/medicaid/providers/973.htm
- Indiana Medicaid Pharmacy Board and Committee Minutes and Agendas: https://www.in.gov/fssa/ompp/4997.htm
- IHCP Pharmacy Services: https://www.in.gov/medicaid/providers/551.htm
- HIP 2.0 Documents and Resources: https://www.in.gov/fssa/hip/2468.htm
- Indiana HIP 2.0 Waiver Documents (Approval, STCs, SUD Protocol): https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/?entry=25478
- Indiana Department of Administration Public Contracts Search (Managed Care Contracts): https://hr.gmis.in.gov/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST
- MDwise Provider Manuals: https://www.mdwise.org/for-providers/manual-and-overview
- MHS Provider Manual: https://www.mhsindiana.com/content/dam/centene/mhsindiana/medicaid/pdfs/IN-AllwellPrvderManual2018.pdf
- Anthem Provider Manual: https://www11.anthem.com/provider/in/f1/s0/t0/pw_g335559.pdf?refer=ahpprovider&state=in
- Caresource Provider Manual: https://www.caresource.com/oh/providers/tools-resources/provider-manual/medicaid