Ind. Admin. Code tit. 760, r. 6-1-9
Authority: IC 34-18-5-2
Affected: IC 34-18-5
Sec. 9. (a) Beginning July 1, 2024, the annual surcharge for a physician electing to become a qualified provider is as follows:
| Class 0 | $2,130 |
| Class 1 | $3,043 |
| Class 2 | $3,956 |
| Class 3 | $5,174 |
| Class 4 | $6,090 |
| Class 5 | $8,370 |
| Class 6 | $12,936 |
| Class 7 | $18,262 |
| Class 8 | $22,827 |
| Class 9 | $25,870 |
(b) Beginning July 1, 2024, surcharge calculations for a hospital electing to become a qualified provider are as follows:
| Hospital, Acute Care and Intensive Care (per bed) | $1,048 |
| Mental Health/Rehabilitation (per bed) | $524 |
| Extended Care/Intermediate Care/Residential (per bed) | $53 |
| Nursing Home/Critical Extended Care (per bed) | $524 |
| Health Institution/Assisted Living/Other (per bed) | $210 |
| Bassinets (per bed) | $1,048 |
| Emergency Room (per 100 visits) | $104.80 |
| Clinics/Others (per 100 visits) | $52.40 |
| Mental Health/Rehabilitation (per 100 visits) | $26 |
| Health Institution (per 100 visits) | $21 |
| Home Health Care (per 100 visits) | $52.40 |
| Births (per 100) | $4,196 |
| Outpatient Surgeries (per 100) | $104.80 |
| Inpatient Surgeries (per 100) | $2,097 |
(Department of Insurance; 760 IAC 6-1-9; filed Sep 9, 2025, 1:57 p.m.: 20251008-IR-760250163FRA)