IC 12-15-12 – Managed Care | Midpage

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Indiana Code

Chapter 12

IC 12-15-12

Managed Care

0.3"Emergency medical condition"0.5"Emergency services"0.7"Post-stabilization care services"0.9Applicability; Medicaid law controlling over conflicting insurance law 1Providers from whom recipients may obtain services other than physician services; exceptions 2Providers from whom recipients may receive physician services; exceptions 3List of managed care providers furnished recipient; providers included; exception 4Failure by recipient to select managed care provider within reasonable time; assignment by office; exception 4.5Managed care prescription drug program requirements 5Circumstances permitting recipient to receive physician services from provider other than managed care provider; exceptions 6Admission to hospital by physician other than managed care provider; notification of managed care provider; services for which payment made 7Providers from whom recipients may obtain eye care services other than surgical services 8Providers from whom recipients may obtain foot care services 9Providers from whom recipients may obtain psychiatric services 9.5Home modification services; time frame for approval or denial of requests 10Selection or assignment of managed care provider; selection of new provider; exception 11Waiver from Department of Health and Human Services; implementation of chapter 12Payments to providers 13Permitted forms 14Repealed 15Coverage for emergency services 17Coverage for post-stabilization care services 18Payment for emergency services 18.5Reimbursement for emergency medical services provider organizations; implementation 19Repealed 20Child lead poisoning screening 21Accreditation 22Accepting, receiving, and processing electronic claims 23Psychiatrist practicing in community mental health center 24Assessment metrics; transparency and accountability safeguards