Indiana § 12-16-1-5 - Payment for covered medical services; requirements
Full text of Indiana Indiana Code § 12-16-1-5 — Payment for covered medical services; requirements, with citation guidance and answers to common questions.
§ 12-16-1-5. Payment for covered medical services; requirements
Sec. 5. Payment for covered medical services approved by the fiscal agent shall be paid:
(1) from money for the Medicaid program if the requirements of IC 12-15 are met; or
(2) if a payment cannot be made under subdivision (1), from a state appropriation either made for an affected agency or for covered medical services for all affected agencies.
[Pre-1992 Revision Citation: 12-5-7-6.]
As added by P.L.2-1992, SEC.10.
IC 12-16-2Chapter 2. Repealed[Pre-1992 Revision Citations:
12-16-2-1New12-16-2-2formerly 12-5-6-10 part12-16-2-3formerly 12-5-6-1312-16-2-4formerly 12-5-6-2112-16-2-5formerly 12-5-6-2.1(e).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-2.5Chapter 2.5. Hospital Care for the Indigent; Administration and General Provisions
12-16-2.5-1Administration of program 12-16-2.5-2Repealed 12-16-2.5-3Repealed 12-16-2.5-4Disproportionate share of low income patients; calculating allowable disproportionate share additional payments 12-16-2.5-5Program not applicable to inmates and patients of certain institutions 12-16-2.5-6Repealed 12-16-2.5-6.3Definitions 12-16-2.5-6.5Repealed
IC 12-16-2.5-1Administration of program Sec. 1. The division shall administer the hospital care for the indigent program under this article.
As added by P.L.120-2002, SEC.18.
IC 12-16-2.5-2RepealedAs added by P.L.120-2002, SEC.18. Amended by P.L.255-2003, SEC.24. Repealed by P.L.146-2008, SEC.819.
IC 12-16-2.5-3RepealedAs added by P.L.120-2002, SEC.18. Repealed by P.L.145-2005, SEC.31.
IC 12-16-2.5-4Disproportionate share of low income patients; calculating allowable disproportionate share additional payments Sec. 4. To the extent permitted under federal statutes or regulations, patient days for patients under the hospital care for the indigent program shall be included in calculating allowable disproportionate share additional payments under 42 U.S.C. 1395 ww(d).
As added by P.L.120-2002, SEC.18.
IC 12-16-2.5-5Program not applicable to inmates and patients of certain institutions Sec. 5. The hospital care for the indigent program does not apply to inmates and patients of institutions of the department of correction, the Indiana department of health, the division of mental health and addiction, or the division of disability, aging, and rehabilitative services.
As added by P.L.120-2002, SEC.18. Amended by P.L.141-2006, SEC.57; P.L.56-2023, SEC.115; P.L.122-2026, SEC.64.
IC 12-16-2.5-6RepealedAs added by P.L.120-2002, SEC.18. Repealed by P.L.255-2003, SEC.55.
IC 12-16-2.5-6.3Definitions Sec. 6.3. For purposes of this article, the following definitions apply to the hospital care for the indigent program:
(1) "Assistance" means the satisfaction of a person's financial obligation under IC 12-16-7.5-1.2 for hospital items or services, physician services, or transportation services provided to the person.
(2) "Claim" means a statement filed with the division by a hospital, physician, or transportation provider that identifies the health care items or services the hospital, physician, or transportation provider rendered to a person for whom an application under IC 12-16-4.5 has been filed with the division.
(3) "Eligible" or "eligibility", when used in regard to a person for whom an application under IC 12-16-4.5 has been filed with the division, means the extent to which:
(A) the person, for purposes of the application, satisfies the income and resource standards established under IC 12-16-3.5; and
(B) the person's medical condition, for purposes of the application, satisfies one (1) or more of the medical conditions identified in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3).
As added by P.L.145-2005, SEC.3.
IC 12-16-2.5-6.5RepealedAs added by P.L.145-2005, SEC.4. Amended by P.L.1-2006, SEC.188. Repealed by P.L.212-2007, SEC.31; P.L.218-2007, SEC.52.
IC 12-16-3Chapter 3. Repealed[Pre-1992 Revision Citations:
12-16-3-1formerly 12-5-6-2.1(a)12-16-3-2formerly 12-5-6-2.1(b)12-16-3-3formerly 12-5-6-2.1(c)12-16-3-4formerly 12-5-6-3.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-3.5Chapter 3.5. Hospital Care for the Indigent; Eligibility for Assistance
12-16-3.5-1Resident eligibility; emergency care; conditions 12-16-3.5-2Nonresident eligibility; emergency care; conditions; qualifications 12-16-3.5-3Rules establishing income and resource eligibility standards; adoption; conditions 12-16-3.5-4Statement of eligibility and benefit standards; requirement 12-16-3.5-5Repealed
IC 12-16-3.5-1Resident eligibility; emergency care; conditions Sec. 1. (a) An Indiana resident who meets the income and resource standards established by the division under section 3 of this chapter is eligible for assistance to satisfy the resident's financial obligation for care provided to the resident in a hospital in Indiana that was necessitated after the onset of a medical condition that was manifested by symptoms of sufficient severity that the absence of immediate medical attention would probably result in any of the following:
(1) Placing the individual's life in jeopardy.
(2) Serious impairment to bodily functions.
(3) Serious dysfunction of a bodily organ or part.
(b) A qualified resident is also eligible for assistance to satisfy the resident's financial obligation for the care that is a direct consequence of the medical condition that necessitated the emergency care.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005, SEC.5.
IC 12-16-3.5-2Nonresident eligibility; emergency care; conditions; qualifications Sec. 2. (a) An individual who is not an Indiana resident is eligible for assistance to satisfy the individual's financial obligation for the care provided to the individual in a hospital in Indiana that was necessitated after the onset of a medical condition that was manifested by symptoms of sufficient severity that the absence of immediate medical attention would probably result in any of the following:
(1) Placing the individual's life in jeopardy.
(2) Serious impairment to bodily functions.
(3) Serious dysfunction of any bodily organ or part.
(b) An individual is eligible for assistance under subsection (a) only if the following qualifications exist:
(1) The individual meets the income and resource standards established by the division under section 3 of this chapter.
(2) The onset of the medical condition that necessitated medical attention occurred in Indiana.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005, SEC.6.
IC 12-16-3.5-3Rules establishing income and resource eligibility standards; adoption; conditions Sec. 3. (a) The division shall adopt rules under IC 4-22-2 to establish income and resource eligibility standards for patients whose care is to be paid under the hospital care for the indigent program.
(b) To the extent possible and subject to this article, rules adopted under this section must meet the following conditions:
(1) Be consistent with IC 12-15-21-2 and IC 12-15-21-3.
(2) Be adjusted at least one (1) time every two (2) years.
(c) The income and eligibility standards established under this section do not include any spend down provisions available under IC 12-15-21-2 or IC 12-15-21-3.
(d) In addition to the conditions imposed under subsection (b), rules adopted under this section must exclude a Holocaust victim's settlement payment received by an eligible individual from the income and eligibility standards for patients whose care is to be paid for under the hospital care for the indigent program.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005, SEC.7.
IC 12-16-3.5-4Statement of eligibility and benefit standards; requirement Sec. 4. A provider may provide a patient, and if the patient is not able to understand the statement, the patient's representative, with a statement of the eligibility and benefit standards adopted by the division if at least one (1) of the following occurs:
(1) The provider has reason to believe that the patient may be indigent.
(2) The patient requests a statement of the standards.
As added by P.L.120-2002, SEC.19. Amended by P.L.212-2007, SEC.12; P.L.218-2007, SEC.23.
IC 12-16-3.5-5RepealedAs added by P.L.120-2002, SEC.19. Repealed by P.L.255-2003, SEC.55.
IC 12-16-4Chapter 4. Repealed[Pre-1992 Revision Citations:
12-16-4-1formerly 12-5-6-4(a) part12-16-4-2formerly 12-5-6-4(a) part12-16-4-3formerly 12-5-6-4(b) part12-16-4-4formerly 12-5-6-4(b) part12-16-4-5formerly 12-5-6-4(c)12-16-4-6formerly 12-5-6-4(d)12-16-4-7formerly 12-5-6-4(e)12-16-4-8formerly 12-5-6-4(f).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-4.5Chapter 4.5. Hospital Care for the Indigent; Application for Assistance
12-16-4.5-1Repealed 12-16-4.5-2Time period for provider filing application 12-16-4.5-3Rules 12-16-4.5-4Repealed 12-16-4.5-5Assistance in preparing application 12-16-4.5-6Civil or criminal liability arising from assistance in preparation of application; immunity 12-16-4.5-7Signing of application; requirements 12-16-4.5-8Filing application by patient or patient's representative 12-16-4.5-8.5Provider claim filing deadline 12-16-4.5-9Repealed
IC 12-16-4.5-1RepealedAs added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.25; P.L.145-2005, SEC.8; P.L.212-2007, SEC.13; P.L.218-2007, SEC.24. Repealed by P.L.146-2008, SEC.819.
IC 12-16-4.5-2Time period for provider filing application Sec. 2. A provider must file the application with the division not more than forty-five (45) days after the person has been released or discharged from the hospital, unless the person is medically unable and the next of kin or legal representative is unavailable.
As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.26; P.L.145-2005, SEC.9; P.L.212-2007, SEC.14; P.L.218-2007, SEC.25.
IC 12-16-4.5-3Rules Sec. 3. Subject to this article, the division shall adopt rules under IC 4-22-2 prescribing the following:
(1) The form of an application.
(2) The establishment of procedures for applications.
(3) The time for submitting and processing claims.
As added by P.L.120-2002, SEC.20. Amended by P.L.145-2005, SEC.10.
IC 12-16-4.5-4RepealedAs added by P.L.120-2002, SEC.20. Repealed by P.L.146-2008, SEC.819.
IC 12-16-4.5-5Assistance in preparing application Sec. 5. A hospital or an attending physician may assist the patient in the preparation of an application for assistance under the hospital care for the indigent program.
As added by P.L.120-2002, SEC.20.
IC 12-16-4.5-6Civil or criminal liability arising from assistance in preparation of application; immunity Sec. 6. A person who in good faith provides assistance in the completion of an application under this chapter is immune from civil or criminal liability arising from the assistance.
As added by P.L.120-2002, SEC.20.
IC 12-16-4.5-7Signing of application; requirements Sec. 7. (a) A patient must sign an application if the patient is medically able to sign.
(b) If a patient is medically unable to sign an application, the patient's next of kin or a legal representative, if available, may sign the application.
(c) If no person under subsections (a) and (b) is able to sign the application to file a timely application, a provider's representative may sign the application instead of the patient.
As added by P.L.120-2002, SEC.20. Amended by P.L.212-2007, SEC.15; P.L.218-2007, SEC.26.
IC 12-16-4.5-8Filing application by patient or patient's representative Sec. 8. (a) A person or a person's representative may file an application directly with the division if the application is filed not more than forty-five (45) days after the person has been released or discharged from the hospital.
(b) Reimbursement for the costs incurred in providing care to an eligible person may only be made to the providers of the care.
As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.27; P.L.145-2005, SEC.11.
IC 12-16-4.5-8.5Provider claim filing deadline Sec. 8.5. A claim for services must be filed with the division not more than one hundred eighty (180) days after the person who received the care has been released or discharged from the hospital. For good cause as determined by the division, this one hundred eighty (180) day limit may be extended or waived for a claim.
As added by P.L.145-2005, SEC.12. Amended by P.L.212-2007, SEC.16; P.L.218-2007, SEC.27.
IC 12-16-4.5-9RepealedAs added by P.L.120-2002, SEC.20. Repealed by P.L.255-2003, SEC.55.
IC 12-16-5Chapter 5. Repealed[Pre-1992 Revision Citations:
12-16-5-1formerly 12-5-6-5(a) part12-16-5-2formerly 12-5-6-5(a) part12-16-5-3formerly 12-5-6-5(b)12-10-5-4formerly 12-5-6-5(c).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-5.5Chapter 5.5. Hospital Care for the Indigent; Eligibility Determinations; Investigations
12-16-5.5-1Repealed 12-16-5.5-1.2Prompt review of claim; calculation of claim 12-16-5.5-2Disclosure of information by provider; immunity 12-16-5.5-3Denial of eligibility claim; notice; eligibility information 12-16-5.5-3.2Denial of item or service claim; notice; item or service information 12-16-5.5-4Notification to person and provider; requirements 12-16-5.5-5Repealed
IC 12-16-5.5-1RepealedAs added by P.L.120-2002, SEC.21. Amended by P.L.255-2003, SEC.28; P.L.145-2005, SEC.13; P.L.212-2007, SEC.17; P.L.218-2007, SEC.28. Repealed by P.L.146-2008, SEC.819.
IC 12-16-5.5-1.2Prompt review of claim; calculation of claim Sec. 1.2. (a) The division shall, upon receipt of a claim pertaining to a person:
(1) who was provided care by an eligible provider; and
(2) whose medical condition satisfies one (1) or more of the medical conditions identified in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3);
promptly review the claim to determine if the health care items or services identified in the claim were necessitated by the person's medical condition or, if applicable, if the items or services were a direct consequence of the person's medical condition.
(b) In conducting the review of a claim referenced in subsection (a), the division shall calculate the amount of the claim. For purposes of this section, IC 12-15-15-9, IC 12-15-15-9.5, IC 12-16-6.5, and IC 12-16-7.5, the amount of a claim shall be calculated in a manner described in IC 12-16-7.5-2.5(c).
As added by P.L.145-2005, SEC.14. Amended by P.L.212-2007, SEC.18; P.L.218-2007, SEC.29.
IC 12-16-5.5-2Disclosure of information by provider; immunity Sec. 2. (a) The provider of medical care to a patient shall provide information the provider has that would assist in the verification of indigency of a patient.
(b) A provider that provides information under subsection (a) is immune from civil and criminal liability for divulging the information.
As added by P.L.120-2002, SEC.21. Amended by P.L.212-2007, SEC.19; P.L.218-2007, SEC.30.
IC 12-16-5.5-3Denial of eligibility claim; notice; eligibility information Sec. 3. (a) Subject to subsection (b) and IC 12-16-6.5-1.5, if the division is unable after prompt and diligent efforts to verify information contained in the application that is reasonably necessary to determine eligibility, the division may deny assistance under the hospital care for the indigent program. The pending expiration of the period specified in IC 12-16-6.5-1.5 is not a valid reason for denying a person's eligibility for the hospital care for the indigent program.
(b) Before denying assistance under the hospital care for the indigent program, the division must provide the person and the provider who submitted a claim under IC 12-16-4.5-8.5 written notice of:
(1) the specific information or verification needed to determine eligibility;
(2) the specific efforts undertaken to obtain the information or verification; and
(3) the statute or rule requiring the information or verification identified under subdivision (1).
(c) The division must provide the provider who submitted a claim under IC 12-16-4.5-8.5 a period of time, not less than ten (10) days beyond the deadline established under IC 12-16-6.5-1.5, to submit to the division information concerning the person's eligibility. If the division does not make a determination of the person's eligibility within ten (10) days after receiving the information under this subsection, the person is eligible without the division's determination of the person's eligibility for the hospital care for the indigent care program under this article.
As added by P.L.120-2002, SEC.21. Amended by P.L.255-2003, SEC.29; P.L.145-2005, SEC.15; P.L.212-2007, SEC.20; P.L.218-2007, SEC.31.
IC 12-16-5.5-3.2Denial of item or service claim; notice; item or service information Sec. 3.2. (a) Subject to subsection (b) and IC 12-16-6.5-1.7, if the division is unable after prompt and diligent efforts to determine that a health care item or service identified in a claim:
(1) was necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(2) was a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
the division may deny assistance to the person under the hospital care for the indigent program for that item or service. The pending expiration of the period specified in IC 12-16-6.5-1.7 is not a valid reason for determining that an item or a service was not necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3), or was not a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(b) Before denying assistance under the hospital care for the indigent program for an item or a service described in subsection (a), the division must provide the provider of the item or service written notice of:
(1) the specific item or service in question; and
(2) an explanation of the basis for the division's inability to determine that the health care item or service was:
(A) necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
including, if applicable, an explanation of the basis for a conclusion by the division that an item or service, in fact, was not necessitated by, or, as applicable, not a direct consequence of, one (1) or more of such medical conditions.
(c) The division must grant the provider of the item or service a period of time, not less than ten (10) days beyond the deadline under IC 12-16-6.5-1.7, to submit to the division information or materials bearing on whether the item or service was necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3), or was a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3). If the division does not make its determination regarding the item or service within ten (10) days after receiving information or materials provided for in this section, the item or service is considered, without the division's determination, to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3), or to have been a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
As added by P.L.145-2005, SEC.16.
IC 12-16-5.5-4Notification to person and provider; requirements Sec. 4. The division shall notify in writing the person and the provider of the following:
(1) A decision concerning eligibility.
(2) The reasons for a denial of eligibility.
(3) That either party has the right to appeal the decision.
As added by P.L.120-2002, SEC.21. Amended by P.L.255-2003, SEC.30; P.L.212-2007, SEC.21; P.L.218-2007, SEC.32.
IC 12-16-5.5-5RepealedAs added by P.L.120-2002, SEC.21. Repealed by P.L.255-2003, SEC.55.
IC 12-16-6Chapter 6. Repealed[Pre-1992 Revision Citations:
12-16-6-1formerly 12-5-6-8(a) part12-16-6-2formerly 12-5-6-8(a) part12-16-6-3formerly 12-5-6-8(a) part12-16-6-4formerly 12-5-6-8(a) part12-16-6-5formerly 12-5-6-8(a) part12-16-6-6formerly 12-S-6-8(a) part12-16-6-7formerly 12-5-6-8(b).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-6.5Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review
12-16-6.5-1Ineligibility determination; appeal to division 12-16-6.5-1.2Appeal; notice 12-16-6.5-1.5Patient eligibility determination 12-16-6.5-1.7Item or service eligibility determination 12-16-6.5-2Repealed 12-16-6.5-3Hearing 12-16-6.5-4Notice of hearing 12-16-6.5-5Determination of eligibility for assistance and health care items or services; entitled to assistance 12-16-6.5-6Appeal 12-16-6.5-7Rules; administrative appeal procedure; provisions 12-16-6.5-8Repealed
IC 12-16-6.5-1Ineligibility determination; appeal to division Sec. 1. If the division determines that a person is not eligible for assistance for services, an affected person, or provider may appeal to the division not later than ninety (90) days after the mailing of notice of that determination to the affected person or provider to the last known address of the person or provider.
As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.31; P.L.145-2005, SEC.17; P.L.212-2007, SEC.22; P.L.218-2007, SEC.33.
IC 12-16-6.5-1.2Appeal; notice Sec. 1.2. (a) If the division determines that an item or service identified in a claim:
(1) was not necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(2) was not a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
the affected person or provider may appeal to the division not later than ninety (90) days after the mailing of the notice of that determination to the affected person or provider to the last known address of the person or provider.
(b) If the division determines that an item or service identified in a claim:
(1) was necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(2) was a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
but the affected provider disagrees with the amount of the claim calculated by the division under IC 12-16-5.5-1.2(b), the affected provider may appeal the calculation to the division not later than ninety (90) days after the mailing of the notice of that calculation to the affected provider to the last known address of the provider.
As added by P.L.145-2005, SEC.18. Amended by P.L.212-2007, SEC.23; P.L.218-2007, SEC.34.
IC 12-16-6.5-1.5Patient eligibility determination Sec. 1.5. Subject to IC 12-16-5.5-3(c), if the division fails to complete an investigation and determination of a person's eligibility for the hospital care for the indigent program not later than forty-five (45) days after receipt of the application filed under IC 12-16-4.5, the person is considered to be eligible without the division's determination of assistance under the program.
As added by P.L.145-2005, SEC.19.
IC 12-16-6.5-1.7Item or service eligibility determination Sec. 1.7. Subject to IC 12-16-5.5-3.2(c), if the division fails to complete an investigation and determination of one (1) or more health care items or services identified in a claim within forty-five (45) days after receipt of the claim filed under IC 12-16-4.5, the item or service is considered to have been:
(1) necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(2) a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
As added by P.L.145-2005, SEC.20.
IC 12-16-6.5-2RepealedAs added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.32. Repealed by P.L.145-2005, SEC.31.
IC 12-16-6.5-3Hearing Sec. 3. The division shall fix a time and place for a hearing before a hearing officer appointed by the director of the division.
As added by P.L.120-2002, SEC.22.
IC 12-16-6.5-4Notice of hearing Sec. 4. A notice of the hearing shall be served upon all persons interested in the matter, including any affected provider, at least twenty (20) days before the time fixed for the hearing.
As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.33; P.L.212-2007, SEC.24; P.L.218-2007, SEC.35.
IC 12-16-6.5-5Determination of eligibility for assistance and health care items or services; entitled to assistance Sec. 5. (a) If the division receives an application that was filed on behalf of a person under IC 12-16-4.5, the division shall determine:
(1) the eligibility of the person for assistance under the hospital care for the indigent program; and
(2) if the health care items or services provided to the person and identified in a claim filed with the division under IC 12-16-4.5 were:
(A) necessitated by at least one (1) medical condition listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) the direct consequence of at least one (1) of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(b) If:
(1) the person, initially or upon appeal, is found eligible for assistance; and
(2) at least one (1) of the items or services identified in the claim is determined initially or upon appeal:
(A) to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) to be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
the person is entitled to assistance for those items and services.
As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.34; P.L.145-2005, SEC.21.
IC 12-16-6.5-6Appeal Sec. 6. A person, hospital, physician, or transportation provider aggrieved by a determination of an appeal taken under section 1 or 1.2 of this chapter may appeal the determination under IC 4-21.5.
As added by P.L.120-2002, SEC.22. Amended by P.L.145-2005, SEC.22.
IC 12-16-6.5-7Rules; administrative appeal procedure; provisions Sec. 7. (a) The division shall adopt rules under IC 4-22-2 that provide for an administrative appeal procedure that is responsive to the needs of patients and providers.
(b) The procedure must provide for the following:
(1) The location of hearings.
(2) The presentation of evidence.
(3) The use of telecommunications.
As added by P.L.120-2002, SEC.22.
IC 12-16-6.5-8RepealedAs added by P.L.120-2002, SEC.22. Repealed by P.L.255-2003, SEC.55.
IC 12-16-7Chapter 7. Repealed[Pre-1992 Revision Citations:
12-16-7-1formerly 12-5-6-6(a) part12-16-7-2formerly 12-5-6-6(a) part12-16-7-3formerly 12-5-6-6(b) part12-16-7-4subsections (a), (b) formerly 12-5-6-6(b) part; subsection (c) formerly 12-5-6-6(e)12-16-7-5formerly 12-5-6-6(c)12-16-7-6formerly 12-5-6-6(d)12-16-7-7formerly 12-5-6-2.1(d)12-16-7-8formerly 12-5-6-2.1(f)12-16-7-9formerly 12-5-6-1912-16-7-10formerly 12-5-6-20.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-7.5Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment
12-16-7.5-1Repealed 12-16-7.5-1.2Eligible patient not financially obligated; payment 12-16-7.5-2Repealed 12-16-7.5-2.5Segregation of payable claims by fiscal year; division determination of amount of payment 12-16-7.5-3Warrant on fund; payment 12-16-7.5-4Repealed 12-16-7.5-4.5Calculation and allocation of funds available for payments from the state hospital care for the indigent fund 12-16-7.5-5Pro rata payments to physicians and transportation providers; limitation 12-16-7.5-6Repealed 12-16-7.5-7Responsibility for the payment of hospital care; limitations 12-16-7.5-8No liability for cost of care provided to patient described in specified rules 12-16-7.5-9Repealed 12-16-7.5-10Repealed 12-16-7.5-11Repealed 12-16-7.5-12Agreement to accept payment as payment in full 12-16-7.5-13Repealed
IC 12-16-7.5-1RepealedAs added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.35. Repealed by P.L.145-2005, SEC.31.
IC 12-16-7.5-1.2Eligible patient not financially obligated; payment Sec. 1.2. (a) A person determined to be eligible under the hospital care for the indigent program is not financially obligated for services provided to the person during the person's eligibility under the program, if the items or services were:
(1) identified in a claim filed with the division under IC 12-16-4.5; and
(2) determined:
(A) to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) to be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(b) Hospitals may receive a payment from the office calculated and made under IC 12-15-15-9 and, if applicable, IC 12-15-15-9.5. Hospitals shall not file claims for payments under IC 12-15-15-9 and IC 12-15-15-9.5 for payments attributable to state fiscal years beginning after June 30, 2007.
(c) Based on a physician's services identified in a claim under subsection (a), the physician may receive a payment from the division calculated and made under section 5 of this chapter.
(d) Based on the transportation services identified in a claim under subsection (a), the transportation provider may receive a payment from the division calculated and made under section 5 of this chapter.
As added by P.L.145-2005, SEC.23. Amended by P.L.212-2007, SEC.25; P.L.218-2007, SEC.36.
IC 12-16-7.5-2RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
IC 12-16-7.5-2.5Segregation of payable claims by fiscal year; division determination of amount of payment Sec. 2.5. (a) Payable claims shall be segregated by state fiscal year.
(b) For purposes of this chapter, IC 12-15-15-9, IC 12-15-15-9.5, and IC 12-16-14, "payable claim" refers to the following:
(1) Subject to subdivision (2), a claim for payment for physician care, hospital care, or transportation services under this chapter:
(A) that includes, on forms prescribed by the division, all the information required for timely payment;
(B) that is for a period during which the person is determined to be financially and medically eligible for the hospital care for the indigent program; and
(C) for which the payment amounts for the care and services are determined by the division.
This subdivision applies for the state fiscal year ending June 30, 2004.
(2) For state fiscal years ending after June 30, 2004, and before July 1, 2007, a claim for payment for physician care, hospital care, or transportation services under this chapter:
(A) provided to a person under the hospital care for the indigent program under this article during the person's eligibility under the program;
(B) identified in a claim filed with the division; and
(C) determined to:
(i) have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(ii) be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(3) For state fiscal years beginning after June 30, 2007, a claim for payment for physician care or transportation services under this chapter:
(A) provided to a person under the hospital care for the indigent program under this article during the person's eligibility under the program;
(B) identified in a claim filed with the division; and
(C) determined to:
(i) be necessary after the onset of a medical condition that was manifested by symptoms of sufficient severity that the absence of immediate medical attention would probably result in any of the outcomes described in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(ii) be a direct consequence of the onset of a medical condition that was manifested by symptoms of sufficient severity that the absence of immediate medical attention would probably result in any of the outcomes listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(c) For purposes of this chapter, IC 12-15-15-9, IC 12-15-15-9.5, and IC 12-16-14, "amount" when used in regard to a claim or payable claim means an amount calculated under STEP THREE of the following formula:
STEP ONE: Identify the items and services identified in a claim or payable claim.
STEP TWO: Using the applicable Medicaid fee for service reimbursement rates, calculate the reimbursement amounts for each of the items and services identified in STEP ONE.
STEP THREE: Calculate the sum of the amounts identified in STEP TWO.
(d) For purposes of this chapter, IC 12-15-15-9, IC 12-15-15-9.5, and IC 12-16-14, a provider that submits a claim to the division is considered to have submitted the claim during the state fiscal year during which the amount of the claim was determined under IC 12-16-5.5-1.2(b) or, if successfully appealed by a provider, the state fiscal year in which the appeal was decided.
(e) The division shall determine the amount of a claim under IC 12-16-5.5-1.2(b).
As added by P.L.255-2003, SEC.36. Amended by P.L.145-2005, SEC.24; P.L.1-2006, SEC.189; P.L.212-2007, SEC.26; P.L.218-2007, SEC.37.
IC 12-16-7.5-3Warrant on fund; payment Sec. 3. (a) A payment made to a physician or a transportation provider under this chapter must be on a warrant drawn on the state hospital care for the indigent fund established by IC 12-16-14.
(b) A payment made to a hospital under this chapter shall be made under IC 12-15-15-9 and IC 12-15-15-9.5.
As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.37.
IC 12-16-7.5-4RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
IC 12-16-7.5-4.5Calculation and allocation of funds available for payments from the state hospital care for the indigent fund Sec. 4.5. (a) Not later than October 31 following the end of each state fiscal year, the division shall:
(1) calculate for each county the total amount of payable claims submitted to the division during the state fiscal year attributed to:
(A) patients who were residents of the county; and
(B) patients:
(i) who were not residents of Indiana;
(ii) whose state of residence could not be determined by the division; and
(iii) who were residents of Indiana but whose county of residence in Indiana could not be determined by the division;
and whose medical condition that necessitated the care or service occurred in the county;
(2) notify each county of the amount of payable claims attributed to the county under the calculation made under subdivision (1); and
(3) with respect to payable claims attributed to a county under subdivision (1):
(A) calculate the total amount of payable claims submitted during the state fiscal year for:
(i) each hospital;
(ii) each physician; and
(iii) each transportation provider; and
(B) determine the amount of each payable claim for each hospital, physician, and transportation provider listed in clause (A).
(b) For the state fiscal years beginning after June 30, 2005, but before July 1, 2007, and before November 1 following the end of a state fiscal year, the division shall allocate the funds transferred from a county's hospital care for the indigent fund to the state hospital care for the indigent fund under IC 12-16-14 during or for the following state fiscal years:
(1) For the state fiscal year ending June 30, 2006, as required under the following STEPS:
STEP ONE: Determine the total amount of funds transferred from all counties' hospital care for the indigent funds by the counties to the state hospital care for the indigent fund under IC 12-16-14 during or for the state fiscal year.
STEP TWO: Of the total amount of payable claims submitted to the division during the state fiscal year from all counties under subsection (a), determine the amount that is the lesser of:
(A) the amount of total physician payable claims and total transportation provider payable claims; or
(B) three million dollars ($3,000,000).
The amount determined under this STEP shall be used by the division to make payments under section 5 of this chapter.
STEP THREE: Transfer an amount equal to the sum of:
(A) the non-federal share of the payments made under clause (A) of STEP FIVE of IC 12-15-15-1.5(b);
(B) the amount transferred under IC 12-15-20-2(8)(F); and
(C) the non-federal share of the payments made under IC 12-15-15-9 and IC 12-15-15-9.5;
to the Medicaid indigent care trust fund for funding the transfer to the office and the non-federal share of the payments identified in this STEP.
STEP FOUR: Transfer an amount equal to sixty-one million dollars ($61,000,000) less the sum of:
(A) the amount determined in STEP TWO; and
(B) the amount transferred under STEP THREE;
to the Medicaid indigent care trust fund for funding the non-federal share of payments under clause (B) of STEP FIVE of IC 12-15-15-1.5(b).
STEP FIVE: Transfer to the Medicaid indigent care trust fund for the programs referenced at IC 12-15-20-2(8)(D)(vi) and funded in accordance with IC 12-15-20-2(8)(H) the amount determined under STEP ONE, less the sum of the amount:
(A) determined in STEP TWO;
(B) transferred in STEP THREE; and
(C) transferred in STEP FOUR.
(2) For the state fiscal year ending June 30, 2007, as required under the following steps:
STEP ONE: Determine the total amount of funds transferred from all counties' hospital care for the indigent funds by the counties to the state hospital care for the indigent fund under IC 12-16-14 during or for the state fiscal year.
STEP TWO: Of the total amount of payable claims submitted to the division during the state fiscal year from all counties under subsection (a), determine the amount that is the lesser of:
(A) the amount of total physician payable claims and total transportation provider payable claims; or
(B) three million dollars ($3,000,000).
The amount determined under this STEP shall be used by the division for making payments under section 5 of this chapter or for the non-federal share of Medicaid payments for physicians and transportation providers, as determined by the office.
STEP THREE: Transfer an amount equal to the sum of:
(A) the non-federal share of five million dollars ($5,000,000) for the payment made under clause (A) of STEP FIVE of IC 12-15-15-1.5(b);
(B) the amount transferred under IC 12-15-20-2(8)(F); and
(C) the non-federal share of the payments made under IC 12-15-15-9 and IC 12-15-15-9.5;
to the Medicaid indigent care trust fund for funding the transfer to the office and the non-federal share of the payments identified in this STEP.
STEP FOUR: Transfer an amount equal to the amount determined under STEP ONE less the sum of:
(A) the amount determined in STEP TWO; and
(B) the amount transferred under STEP THREE;
to the Medicaid indigent care trust fund for funding the non-federal share of payments under clause (B) of STEP FIVE of IC 12-15-15-1.5(b).
(c) For the state fiscal years beginning after June 30, 2007, before November 1 following the end of the state fiscal year, the division shall allocate the funds transferred to the state hospital care for the indigent fund for the state fiscal year as required under the following STEPS:
STEP ONE: Determine the total amount of funds transferred to the state hospital care for the indigent fund for the state fiscal year.
STEP TWO: Determine the amount specified in STEP THREE.
STEP THREE: The amount to be used under STEP TWO is three million dollars ($3,000,000).
STEP FOUR: Transfer to the Medicaid indigent care trust fund for purposes of IC 12-15-20-2(8)(G) an amount equal to the amount calculated under STEP ONE, minus an amount equal to the amount specified under STEP THREE.
STEP FIVE: The division shall retain an amount equal to the amount remaining in the state hospital care for the indigent fund after the transfer in STEP FOUR for purposes of making payments under section 5 of this chapter or for the non-federal share of Medicaid payments for physicians and transportation providers, as determined by the office.
(d) The costs of administering the hospital care for the indigent program, including the processing of claims, shall be paid from the funds transferred to the state hospital care for the indigent fund.
As added by P.L.255-2003, SEC.38. Amended by P.L.212-2007, SEC.27; P.L.218-2007, SEC.38; P.L.146-2008, SEC.388.
IC 12-16-7.5-5Pro rata payments to physicians and transportation providers; limitation Sec. 5. Before December 15 following the end of each state fiscal year, the division shall, from the amounts combined from the counties' hospital care for the indigent funds and retained under section 4.5(b) or 4.5(c) of this chapter, pay each physician and transportation provider a pro rata part of that amount. The total payments available under this section may not exceed three million dollars ($3,000,000).
As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.39; P.L.212-2007, SEC.28; P.L.218-2007, SEC.39.
IC 12-16-7.5-6RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
IC 12-16-7.5-7Responsibility for the payment of hospital care; limitations Sec. 7. The division is not responsible under the hospital care for the indigent program for the payment of any part of the costs of providing care in a hospital to an individual who is not either of the following:
(1) A citizen of the United States.
(2) A lawfully admitted alien.
As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.40.
IC 12-16-7.5-8No liability for cost of care provided to patient described in specified rules Sec. 8. The division is not liable for any part of the cost of care provided to an individual who has been determined to be a patient described in the rules adopted under IC 12-16-10.5.
As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.41.
IC 12-16-7.5-9RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.146-2008, SEC.819.
IC 12-16-7.5-10RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.146-2008, SEC.819.
IC 12-16-7.5-11RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
IC 12-16-7.5-12Agreement to accept payment as payment in full Sec. 12. All providers receiving payment under section 1.2 of this chapter agree to accept, as payment in full, the payment referred to in section 1.2 of this chapter for the health care items or services identified in payable claims submitted to the division.
As added by P.L.120-2002, SEC.23. Amended by P.L.145-2005, SEC.25.
IC 12-16-7.5-13RepealedAs added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
IC 12-16-8Chapter 8. Repealed[Pre-1992 Revision Citations:
12-16-8-1formerly 12-5-6-6.5(c) part12-16-8-2formerly 12-5-6-6.5(a)12-16-8-3formerly 12-5-6-6.5(b)12-16-8-4formerly 12-5-6-6.5(c) part12-16-8-5formerly 12-5-6-6.5(d).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-8.5Chapter 8.5. RepealedRepealed by P.L.212-2007, SEC.31; P.L.218-2007, SEC.52.
IC 12-16-9Chapter 9. Repealed[Pre-1992 Revision Citation:
12-16-9-1formerly 12-5-6-7.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-9.5Chapter 9.5. Hospital Care for the Indigent; Rate of Payment
12-16-9.5-1Rate of payment for services and materials same as rates under Medicaid 12-16-9.5-2Repealed
IC 12-16-9.5-1Rate of payment for services and materials same as rates under Medicaid Sec. 1. Notwithstanding any other provision of this article, the rate of payment for the services and materials provided by physicians and transportation providers under the hospital care for the indigent program is the same rate as payment for the same type of services and materials under the rules adopted by the office for the fee-for-service Medicaid program.
As added by P.L.120-2002, SEC.25. Amended by P.L.255-2003, SEC.42.
IC 12-16-9.5-2RepealedAs added by P.L.120-2002, SEC.25. Repealed by P.L.255-2003, SEC.55.
IC 12-16-10Chapter 10. Repealed[Pre-1992 Revision Citations:
12-16-10-1formerly 12-5-6-12(a) part12-16-10-2formerly 12-5-6-12(a) part12-16-10-3formerly 12-5-6-12(b)12-16-10-4formerly 12-5-6-1412-16-10-5formerly 12-5-6-10.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-10.5Chapter 10.5. Hospital Care for the Indigent; Rules
12-16-10.5-1Adopting rules; requisites 12-16-10.5-2Consistency of adopted rules with other Medicaid rules 12-16-10.5-3Rules denying payment for services to medically stable and safely discharged patients 12-16-10.5-4Statewide data collection system; requirements; filing copies of submitted claims 12-16-10.5-5Rules for appeals; consistency with other rules 12-16-10.5-6Repealed
IC 12-16-10.5-1Adopting rules; requisites Sec. 1. The division shall, with the advice of the division's medical staff, the division of mental health and addiction, the division of disability, aging, and rehabilitative services, and other individuals selected by the director of the division, adopt rules under IC 4-22-2 to do the following:
(1) Provide for review and approval of services paid under the hospital care for the indigent program.
(2) Establish limitations consistent with medical necessity on the duration of services to be provided.
(3) Specify the amount of and method for reimbursement for services.
(4) Specify the conditions under which payments will be denied and improper payments will be recovered.
As added by P.L.120-2002, SEC.26. Amended by P.L.141-2006, SEC.58; P.L.122-2026, SEC.65.
IC 12-16-10.5-2Consistency of adopted rules with other Medicaid rules Sec. 2. To the extent possible, rules adopted under section 1 of this chapter must be consistent with IC 12-15-21-2 and IC 12-15-21-3.
As added by P.L.120-2002, SEC.26.
IC 12-16-10.5-3Rules denying payment for services to medically stable and safely discharged patients Sec. 3. The rules adopted under section 1 of this chapter must include rules that will deny payment for services provided to a patient after the patient is medically stable and can safely be discharged.
As added by P.L.120-2002, SEC.26.
IC 12-16-10.5-4Statewide data collection system; requirements; filing copies of submitted claims Sec. 4. (a) The division shall adopt rules under IC 4-22-2 necessary to establish a statewide collection system of data concerning the hospital care for the indigent program.
(b) The following data must be collected:
(1) Patient demographics.
(2) Types of services provided by hospitals.
(3) Costs of particular types of services provided by hospitals.
(c) A hospital that provides services under the hospital care for the indigent program shall file copies of all claims submitted under the program with the contractor engaged by the division to adjudicate claims.
As added by P.L.120-2002, SEC.26.
IC 12-16-10.5-5Rules for appeals; consistency with other rules Sec. 5. The division may adopt rules under IC 4-22-2 that are in addition to and consistent with the rules required to be adopted under IC 12-16-6.5 governing appeals brought under the hospital care for the indigent program to the division.
As added by P.L.120-2002, SEC.26.
IC 12-16-10.5-6RepealedAs added by P.L.120-2002, SEC.26. Repealed by P.L.255-2003, SEC.55.
IC 12-16-11Chapter 11. Repealed[Pre-1992 Revision Citations:
12-16-11-1formerly 12-5-6-9 part12-16-11-2formerly 12-5-6-9 part.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-11.5Chapter 11.5. Hospital Care for the Indigent; Recovery of Payments by Division
12-16-11.5-1Repealed 12-16-11.5-2Repealed 12-16-11.5-3Repealed
IC 12-16-11.5-1RepealedAs added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
IC 12-16-11.5-2RepealedAs added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
IC 12-16-11.5-3RepealedAs added by P.L.120-2002, SEC.27. Repealed by P.L.255-2003, SEC.55.
IC 12-16-12Chapter 12. Repealed[Pre-1992 Revision Citations:
12-16-12-1formerly 12-5-6-11 part12-16-12-2formerly 12-5-6-11 part12-16-12-3formerly 12-5-6-11 part12-16-12-4formerly 12-5-6-11 part12-16-12-5formerly 12-5-6-11 part.]Repealed by P.L.283-2001, SEC.40.
IC 12-16-12.5Chapter 12.5. RepealedRepealed by P.L.212-2007, SEC.31; P.L.218-2007, SEC.52.
IC 12-16-13Chapter 13. Repealed[Pre-1992 Revision Citations:
12-16-13-1formerly 12-5-6-15(a)12-16-13-2formerly 12-5-6-15(b).]Repealed by P.L.283-2001, SEC.40.
IC 12-16-13.5Chapter 13.5. Hospital Care for the Indigent; Immunity
12-16-13.5-1Limited immunity from liability 12-16-13.5-2Liability not limited for determination that patient's medical condition permits transfer 12-16-13.5-3Repealed
IC 12-16-13.5-1Limited immunity from liability Sec. 1. A hospital, a physician, or an agent or employee of a hospital or physician that provides services in good faith under the hospital care for the indigent program is immune from liability to the extent the liability is attributable to at least one (1) of the following:
(1) The requirement that a patient be transferred under IC 12-16-12.5 (repealed).
(2) The denial of payment under IC 12-16-10.5.
As added by P.L.120-2002, SEC.29. Amended by P.L.156-2020, SEC.57.
IC 12-16-13.5-2Liability not limited for determination that patient's medical condition permits transfer Sec. 2. Section 1(1) of this chapter does not limit liability for the determination that the patient's medical condition permits a transfer under IC 12-16-12.5 (repealed).
As added by P.L.120-2002, SEC.29. Amended by P.L.156-2020, SEC.58.
IC 12-16-13.5-3RepealedAs added by P.L.120-2002, SEC.29. Repealed by P.L.255-2003, SEC.55.
IC 12-16-14Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds
12-16-14-1Repealed 12-16-14-2Repealed 12-16-14-3Repealed 12-16-14-3.4Repealed 12-16-14-3.7Repealed 12-16-14-4Repealed 12-16-14-5Repealed 12-16-14-6State hospital care for the indigent fund 12-16-14-7State fund components 12-16-14-8Administration and use of state fund 12-16-14-9Reversion of state fund 12-16-14-10Repealed
Source: official Indiana text · Last verified 2026-08-27
Frequently Asked Questions About Indiana § 12-16-1-5
What does Indiana Code § 12-16-1-5 cover?
Section 12-16-1-5 ("Payment for covered medical services; requirements") is part of the Indiana Code, the codified statutory law of Indiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Indiana § 12-16-1-5?
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Is this the official text of Indiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Indiana official source linked on this page or consult a licensed Indiana attorney.
How does Indiana § 12-16-1-5 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Indiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Indiana.