Header

Main Content

Article

Access Monitoring Review Plan

Indiana Medicaid is required to create an Access Monitoring Review Plan. The plan is required to consider the following items:

  • The extent to which beneficiary needs are fully met;
  • The availability of care through enrolled providers to beneficiaries in each geographic area, by provider type and site of service;
  • Changes in beneficiary utilization of covered services in each geographic area;
  • The characteristics of the beneficiary population (including considerations for care, service, and payment variations for pediatric and adult populations and for individuals with disabilities); and
  • Actual or estimated levels of provider payment available from other payers, including other public and private payers, by provider type and site of location.

2016 Indiana Access Monitoring Review Plan

2019 Indiana Access Monitoring Review Plan (draft 09/03/2019)