Authority: IC 16-21-13-5

Affected: IC 16-21-13

Sec. 8. (a) Any facility not certified by the department as a perinatal center shall affiliate with a perinatal center. The department shall notify facilities when all initial perinatal centers have been certified. Facilities not certified by the department as perinatal centers will have twelve (12) months from notification to enter into a memorandum of understanding with a certified perinatal center.

(b) Nonperinatal centers may affiliate with only one (1) perinatal center.

(c) Every perinatal center shall affiliate with at least one (1) hospital outside of its own network, unless none are available.

(d) The department will assign unaffiliated hospitals to perinatal centers as needed.

(e) Each perinatal center and its affiliate hospitals shall enter into an agreement that defines the responsibilities of each partner as follows:

1. (1) Each perinatal center shall have the following responsibilities:

   1. (A) Training to affiliates as specified in section 1 of this rule.
   2. (B) Support services to affiliates as specified in section 1 of this rule.
   3. (C) Sponsor and coordinate visits to affiliate hospitals related to outcomes and quality assurance at least annually.
   4. (D) Support for transition of patients from perinatal specialty care to primary physician.

2. (2) Each affiliate hospital shall have the following responsibilities:

   1. (A) Compliance with perinatal levels of care rules.
   2. (B) Collection of quality improvement data.
   3. (C) Attendance and participation in perinatal center and affiliate meetings.
   4. (D) Collaboration with the perinatal center and provision of data for annual visit to evaluate outcomes.
   5. (E) Collaboration with the perinatal center related to transition home and back transport of shared patients.

(Indiana Department of Health; 410 IAC 39-8-8; filed Aug 14, 2019, 3:32 p.m.: 20190911-IR-410180416FRA; readopted filed Nov 14, 2025, 11:18 a.m.: 20251210-IR-410240588RFA)