Payment for Health Care Services
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This policy governs how the Indiana Department of Child Services pays for required health care services for children in out-of-home care. It requires use of available Medicaid and private health insurance before DCS accepts financial responsibility for unpaid covered services.
No material clinical or coverage changes in this revision.
Health Care Payment Responsibility
Coordinate Coverage and Payment
Coordinate payment sources
For a child in out-of-home care, coordinate health care services with DCS after checking whether the child is eligible for Medicaid and whether other health insurance is available.
Use private health insurance first
When private health insurance is available through the child's parent, guardian, or custodian, use that insurance for all required health care services before seeking DCS financial responsibility.
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