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 C.F.R. § 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.