Indiana § 12-15-23-10 - Action by attorney general; compromise

§ 12-15-23-10. Action by attorney general; compromise

Sec. 10. An action brought under section 7 of this chapter may be compromised in the manner prescribed by IC 4-6-2-11.

[Pre-1992 Revision Citation: 12-1-7-15.9(e) part.]

As added by P.L.2-1992, SEC.9.

IC 12-15-23.5Chapter 23.5. Coordination of Benefits Study

12-15-23.5-1"Covered entity" 12-15-23.5-2Examination and recovery of Medicaid claims 12-15-23.5-3Coordination of benefits procedures 12-15-23.5-4Procedure requirements

IC 12-15-23.5-1"Covered entity" Sec. 1. As used in this chapter, "covered entity" has the meaning set forth in 45 CFR 160.103.

As added by P.L.187-2007, SEC.3.

IC 12-15-23.5-2Examination and recovery of Medicaid claims Sec. 2. (a) Before January 1, 2008, the office shall:

(1) examine all Medicaid claims paid after January 1, 2001, and before July 1, 2007;

(2) determine which claims examined under subdivision (1) were eligible for payment by a third party other than Medicaid; and

(3) recover the claims that were determined under subdivision (2) to be eligible for payment by a third party other than Medicaid.

(b) The office shall require through an eligibility and benefit request, and a covered entity shall provide, any information necessary for the office to complete the examination required by this section. The office, after notice and hearing, may impose a fine not to exceed one thousand dollars ($1,000) for each refusal by a covered entity to provide information concerning an eligibility and benefit request for a Medicaid recipient requested by the office under this section.

As added by P.L.187-2007, SEC.3.

IC 12-15-23.5-3Coordination of benefits procedures Sec. 3. If at least one percent (1%) of the claims were determined under section 2 of this chapter to be eligible for payment by a third party other than Medicaid, the office shall develop and implement a procedure to improve the coordination of benefits between:

(1) the Medicaid program; and

(2) any other third party source of health care coverage provided to a recipient.

As added by P.L.187-2007, SEC.3.

IC 12-15-23.5-4Procedure requirements Sec. 4. If a procedure is developed and implemented under section 3 of this chapter, the procedure:

(1) must be automated; and

(2) must provide a system for determining whether a Medicaid claim is eligible for payment by another third party before the claim is paid under the Medicaid program.

As added by P.L.187-2007, SEC.3.

IC 12-15-24Chapter 24. Theft; Kickbacks and Bribes

12-15-24-1Intent to deprive state of money or benefits; prima facie evidence for purposes of IC 35-43-4-2 12-15-24-2Soliciting, offering, or receiving kickbacks, bribes, or fee or charge rebates; classification of violation