The office's managed care organization shall regard a hospital as a contracted provider in the office's managed care program, which provides a capitated prepayment managed care system, for the provision of medical services to each individual who:

1. (1) is eligible to receive services under IC 12-15 and has enrolled in the office's managed care services program;
2. (2) resides in the same city in which the hospital is located; and

3. (3) has selected a primary care provider who:

   1. (A) is a contracted provider with the office's managed care organization; and
   2. (B) has medical staff privileges at the hospital.

As added by P.L.142-2000, SEC.2. Amended by P.L.141-2001, SEC.2; P.L.152-2017, SEC.8.