Indiana § 12-15-33-12 - Reporting requirement

§ 12-15-33-12. Reporting requirement

Sec. 12. On or before July 1, 2027, and July 1 biennially thereafter, the commission shall submit a report to the executive director of the legislative services agency, in an electronic format under IC 5-14-6, for review by the interim committee on government in accordance with IC 1-1-15.5-4 and IC 2-5-1.3-13(g). The report shall describe:

(1) official action taken; and

(2) actionable items considered;

by the commission during the preceding two (2) years.

As added by P.L.161-2025, SEC.20.

IC 12-15-33.3Chapter 33.3. Medicaid Beneficiary Advisory Commission

12-15-33.3-1"Commission" 12-15-33.3-2Creation of commission 12-15-33.3-3Members; appointments 12-15-33.3-4Appointment term; vacancy 12-15-33.3-5Office staffing commission 12-15-33.3-6Meetings 12-15-33.3-7Per diem

IC 12-15-33.3-1"Commission" Sec. 1. As used in this chapter, "commission" refers to the Medicaid beneficiary advisory commission created by section 2 of this chapter.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.3-2Creation of commission Sec. 2. The Medicaid beneficiary advisory commission is created under the executive branch of government to act in an advisory capacity to the office in matters related to policy development and in the effective administration of the Medicaid program.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.3-3Members; appointments Sec. 3. (a) The commission is composed of individuals who:

(1) are:

(A) current and former Medicaid beneficiaries; and

(B) family members and caregivers of current and former Medicaid beneficiaries; and

(2) are appointed as follows:

(A) Four (4) members appointed by the administrator of the office.

(B) One (1) member who is not a member of the general assembly, appointed by the president pro tempore of the senate.

(C) One (1) member who is not a member of the general assembly, appointed by the minority leader of the senate.

(D) One (1) member who is not a member of the general assembly, appointed by the speaker of the house.

(E) One (1) member who is not a member of the general assembly, appointed by the minority leader of the house.

(b) The administrator of the office shall appoint the chair of the commission from among the members of the commission. The chair serves at the pleasure of the administrator.

As added by P.L.26-2025, SEC.11. Amended by P.L.23-2026, SEC.86.

IC 12-15-33.3-4Appointment term; vacancy Sec. 4. (a) Except as provided in subsection (b), and subject to subsection (c), an appointment to the commission is for a four (4) year term that expires as follows:

(1) For a member appointed under section 3(a)(2)(A) of this chapter, December 31, 2027, and every fourth year thereafter.

(2) For a member appointed under section 3(a)(2)(B) through 3(a)(2)(E) of this chapter, December 31, 2029, and every fourth year thereafter.

(b) A member described in subsection (a)(2) who is appointed to the commission in 2025 serves until the member's term expires on December 31, 2029.

(c) A member of the commission:

(1) serves at the pleasure of the appointing authority who appointed the member to the commission; and

(2) serves until the member's successor is designated.

(d) A vacancy on the commission shall be filled by the appointing authority of the member whose position on the commission is vacant. An individual appointed to fill a vacancy serves for the unexpired term of the individual's predecessor.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.3-5Office staffing commission Sec. 5. The office shall provide staff support to the commission.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.3-6Meetings Sec. 6. The commission shall:

(1) meet at least four (4) times each year, with one (1) meeting held in each calendar quarter; and

(2) hold special meetings at the request of the commission or the secretary.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.3-7Per diem Sec. 7. (a) Each member of the commission who is not a state employee is entitled to the minimum salary per diem provided by IC 4-10-11-2.1(b). The member is also entitled to reimbursement for mileage, traveling expenses as provided under IC 4-13-1-4, and other expenses actually incurred in connection with the member's duties as provided in the state policies and procedures established by the Indiana department of administration and approved by the budget agency.

(b) Each member of the commission who is a state employee is entitled to reimbursement for traveling expenses as provided under IC 4-13-1-4 and other expenses actually incurred in connection with the member's duties as provided in the state policies and procedures established by the Indiana department of administration and approved by the budget agency.

(c) Expenses paid under subsections (a) and (b) shall be paid from appropriations made to the family and social services administration.

As added by P.L.26-2025, SEC.11.

IC 12-15-33.5Chapter 33.5. Medicaid Clinical Advisory Committee

12-15-33.5-1"Committee" defined 12-15-33.5-2Establishment 12-15-33.5-3Membership; meetings; consultations; ad hoc clinical advisory committee

IC 12-15-33.5-1"Committee" defined Sec. 1. As used in this chapter, "committee" refers to the Medicaid clinical advisory committee established under this chapter.

As added by P.L.42-1995, SEC.25.

IC 12-15-33.5-2Establishment Sec. 2. The office shall establish a clinical advisory committee to provide clinical insights and applications of clinical policy issues related to programs administered by the office, including issues related to:

(1) current standards of care;

(2) quality of care;

(3) accessibility of care;

(4) appropriateness of care; and

(5) cost-effectiveness of care.

As added by P.L.42-1995, SEC.25.

IC 12-15-33.5-3Membership; meetings; consultations; ad hoc clinical advisory committee Sec. 3. (a) The committee consists of at least seven (7) members and not more than thirteen (13) members.

(b) The office's medical consultant shall serve as the chairperson of the committee.

(c) The committee shall include at least seven (7) physicians who are:

(1) licensed under IC 25-22.5; and

(2) actively engaged in the practice of medicine.

(d) The office shall select the remaining committee members from the medical provider community to represent the services most critical to the Medicaid recipient population.

(e) The committee shall meet:

(1) one (1) time every two (2) months; or

(2) as determined necessary by the chairperson.

(f) The committee may consult as needed with other persons who have expertise in any clinical policy issue being considered by the committee.

(g) If the committee established under subsection (a) considers a change in clinical policy related to care and services provided under:

(1) IC 25-10 (chiropractic services);

(2) IC 25-14 (dental services);

(3) IC 25-24 and IC 25-26 (eye care services); or

(4) IC 25-29 (foot care services);

the office shall establish an ad hoc clinical advisory committee comprised of three (3) licensed non-physician practitioners directly affected by the proposed clinical policy change.

(h) The chairperson of a committee under subsection (g) shall be the office's medical consultant.

(i) When an ad hoc clinical advisory committee is established under subsection (g)(3), one (1) member of the committee shall be a physician licensed under IC 25-22.5 who provides services similar to those provided by an optometrist licensed under IC 25-24 or IC 25-26.

(j) A committee established under subsection (g) shall provide clinical insights and applications of clinical policy issues relating to:

(1) current standards of care;

(2) quality of care;

(3) accessibility of care;

(4) appropriateness of care; and

(5) cost-effectiveness of care.

As added by P.L.42-1995, SEC.25.

IC 12-15-34Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning

12-15-34-1"Home health agency" 12-15-34-2"Home health services" 12-15-34-3Items and services furnished either by home health agency or by others under arrangements with home health agency; exception 12-15-34-4Items and services included under IC 12-15-34-2 definition of home health services 12-15-34-5Office and secretary; actions, directions, and rules; providing of services and ensuring uniform equitable treatment of applicants and recipients 12-15-34-6Contracts for services; authorization 12-15-34-7Contracts; maximum term 12-15-34-8Preparation of qualifications and specifications for bidders 12-15-34-9Subcontracts; authorization; term 12-15-34-10Subcontracts; approval 12-15-34-11Subcontracts; information furnished to office 12-15-34-12Contract or subcontract; availability to legislative council 12-15-34-13Plan for purchase of services under IC 4-23-17-9.3 12-15-34-14Utilization review procedures 12-15-34-14.5Reduce reimbursement for home health services prohibited; expiration 12-15-34-14.6Development of new reimbursement methodology for home health services; expiration 12-15-34-14.7Review of home health services for children with complex medical needs 12-15-34-15Expired