Common use of Excluded Services Clause in Contracts

Excluded Services. The Hoosier Care Connect program excludes some benefits from coverage under managed care. These excluded benefits are available under traditional Medicaid. A Contractor’s members who are, or will be, receiving excluded services shall be disenrolled from Hoosier Care Connect and enrolled in traditional Medicaid. The Contractor is responsible for the member’s care until the member is disenrolled by FSSA unless otherwise stated.

Excluded Services. The Hoosier Care Connect program excludes some benefits from coverage under managed care. These excluded benefits are available under traditional Medicaid. A Contractor’s members who are, or will be, receiving excluded services shall be disenrolled from Hoosier Care Connect and enrolled in traditional Medicaid. Excluded services are defined by the State as services that are not covered under Indiana Medicaid (see also: 405 IAC 5-29-1). The Contractor is responsible for the member’s care until the member is disenrolled by FSSA unless otherwise stated.