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
for details including the following:
- Covered codes
- Fee 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 about the MRO Benefit Service Plan to email@example.com.
Additional information is available in the Medicaid Rehabilitation Option Services
provider reference module.