Medicaid Rehabilitation Option (MRO)

Effective July 1, 2010, the Indiana Family and Social Services Administration (FSSA), through its Office of Medicaid Policy and Planning (OMPP) and  Division of Mental Health and Addiction (DMHA), transformed the benefit plan structure for Medicaid members receiving Medicaid Rehabilitation Option (MRO) services. 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).

More Information

Refer to BT201015 for details including the following:

  • Covered codes
  • Reimbursement
  • 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 transformation@fssa.in.gov.

Additional information is available at https://myshare.in.gov/FSSA/ompp/MRO/default.aspx.