Indiana § 12-15-5-1 - Services and supplies provided; exceptions

§ 12-15-5-1. Services and supplies provided; exceptions

Sec. 1. (a) Except as provided in IC 12-15-2-12, IC 12-15-6, and IC 12-15-21, the following services and supplies are provided under Medicaid:

(1) Inpatient hospital services.

(2) Nursing facility services.

(3) Physician's services, including services provided under IC 25-10-1 and IC 25-22.5-1.

(4) Outpatient hospital or clinic services.

(5) Home health care services.

(6) Private duty nursing services.

(7) Physical therapy and related services.

(8) Dental services.

(9) Prescribed laboratory and x-ray services.

(10) Prescribed drugs and pharmacist services.

(11) Eyeglasses and prosthetic devices.

(12) Optometric services.

(13) Diagnostic, screening, preventive, and rehabilitative services.

(14) Podiatric medicine services.

(15) Hospice services.

(16) Services or supplies recognized under Indiana law and specified under rules adopted by the office.

(17) Family planning services except the performance of abortions.

(18) Nonmedical nursing care given in accordance with the tenets and practices of a recognized church or religious denomination to an individual qualified for Medicaid who depends upon healing by prayer and spiritual means alone in accordance with the tenets and practices of the individual's church or religious denomination.

(19) Services provided to individuals described in IC 12-15-2-8.

(20) Services provided under IC 12-15-34 and IC 12-15-32.

(21) Case management services provided to individuals described in IC 12-15-2-13.

(22) Any other type of remedial care recognized under Indiana law and specified by the United States Secretary of Health and Human Services.

(23) Examinations required under IC 16-41-17-2(a)(10).

(24) Inpatient substance abuse detoxification services.

(25) Chronic pain management.

(26) Donated breast milk that meets requirements developed by the office of Medicaid policy and planning.

(b) The office shall do the following:

(1) Apply to the United States Department of Health and Human Services for any state plan amendment or waiver necessary to implement the services or supplies described in subsection (a)(26).

(2) Develop requirements for donated breast milk as described in subsection (a)(26).

(3) As soon as practicable, but not later than January 1, 2023, the office shall:

(A) seek any necessary approval from the United States Department of Health and Human Services; and

(B) adopt any written policies, procedures, or regulations determined necessary;

to provide reimbursement for long-acting reversible contraception. This subdivision expires June 30, 2023.

[Pre-1992 Revision Citation: 12-1-7-14.6 part.]

As added by P.L.2-1992, SEC.9. Amended by P.L.24-1997, SEC.48; P.L.149-2001, SEC.1; P.L.274-2013, SEC.1; P.L.154-2015, SEC.2; P.L.210-2015, SEC.47; P.L.149-2019, SEC.4; P.L.117-2022, SEC.3; P.L.180-2022(ss), SEC.15.