Medicaid Rehabilitation Option (MRO)
Effective July 1, 2010, the Medicaid Rehabilitation Option (MRO)
Program will undergo a transformation from its current process. The
Office of Medicaid Policy and Planning (OMPP), in conjunction with
the Division of Mental Health and Addiction (DMHA), has developed a
benefit plan structure for Medicaid members receiving MRO services.
Currently, there are no prior authorization (PA) requirements and
no benefit limitations imposed for members receiving MRO services
during the benefit period. While members can continue to access MRO
providers based on a self-referral, members who have a qualifying
MRO diagnosis will be assigned a service package based on their
individual level of need (LON).
Refer to BT201015 for details including the
- Covered codes
- Ree schedule
- Prior authorization (PA) processes
- Qualifying providers
Information in this bulletin pertaining to the MRO code set and
midlevel modifiers has been revised. See BT201023 for the updates.
Email questions on the MRO Benefit Service Plan to firstname.lastname@example.org.
Additional information is available at https://myshare.in.gov/FSSA/ompp/MRO/default.aspx.