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