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How will Waiver members access services?

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How will Waiver members access services?

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Waiver services rendered to waiver members will continue to require approval by their Waiver Case Manager and members must follow the Waiver Plan of Care. These services will not require a referral from their Indiana Care Select PMP. Claims submitted for non-Waiver services rendered by non-Waiver providers will require a referral from their Indiana Care Select PMP, unless the service rendered is a self-referral service for the Indiana Care Select Program. Waiver providers and Waiver Case Managers will continue to work closely together to identify and authorize waiver services for the Indiana Care Select Member. The current prior authorization (PA) process for the Waiver program will be used. However, it is the expectation of the State that strong communications between the Waiver Case Manager and the Indiana Care Select PMP will exist in order to ensure uninterrupted care.

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