Sec. 3. (a) The committee consists of at least seven (7) members and not more than thirteen (13) members. (b) The office's medical consultant shall serve as the chairperson of the committee. (c) The committee shall include at least seven (7) physicians who are: (1) licensed under IC 25-22.5 ; and (2) actively engaged in the practice of medicine. (d) The office shall select the remaining committee members from the medical provider community to represent the services most critical to the Medicaid recipient population. (e) The committee shall meet: (1) one (1) time every two (2) months; or (2) as determined necessary by the chairperson. (f) The committee may consult as needed with other persons who have expertise in any clinical policy issue being considered by the committee. (g) If the committee established under subsection (a) considers a change in clinical policy related to care and services provided under: (1) IC 25-10 (chiropractic services); (2) IC 25-14 (dental services); (3) IC 25-24 and IC 25-26 (eye care services); or (4) IC 25-29 (foot care services); the office shall establish an ad hoc clinical advisory committee comprised of three (3) licensed non-physician practitioners directly affected by the proposed clinical policy change. (h) The chairperson of a committee under subsection (g) shall be the office's medical consultant. (i) When an ad hoc clinical advisory committee is established under subsection (g)(3), one (1) member of the committee shall be a physician licensed under IC 25-22.5 who provides services similar to those provided by an optometrist licensed under IC 25-24 or IC 25-26 . (j) A committee established under subsection (g) shall provide clinical insights and applications of clinical policy issues relating to: (1) current standards of care; (2) quality of care; (3) accessibility of care; (4) appropriateness of care; and (5) cost-effectiveness of care. IC 12-15-34 Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning 12-15-34-1 "Home health agency" 12-15-34-2 "Home health services" 12-15-34-3 Items and services furnished either by home health agency or by others under arrangements with home health agency; exception 12-15-34-4 Items and services included under IC 12-15-34-2 definition of home health services 12-15-34-5 Office and secretary; actions, directions, and rules; providing of services and ensuring uniform equitable treatment of applicants and recipients 12-15-34-6 Contracts for services; authorization 12-15-34-7 Contracts; maximum term 12-15-34-8 Preparation of qualifications and specifications for bidders 12-15-34-9 Subcontracts; authorization; term 12-15-34-10 Subcontracts; approval 12-15-34-11 Subcontracts; information furnished to office 12-15-34-12 Contract or subcontract; availability to legislative council 12-15-34-13 Plan for purchase of services under IC 4-23-17-9.3 12-15-34-14 Utilization review procedures 12-15-34-14.5 Reduce reimbursement for home health services prohibited 12-15-34-14.7 Review of home health services for children with complex medical needs 12-15-34-15 Expired
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