Indiana § 27-13-6-10 - Hospital accreditation

§ 27-13-6-10. Hospital accreditation

Sec. 10. (a) A health maintenance organization may not refuse to enter into an agreement with a hospital solely because the hospital has not obtained accreditation from an accreditation organization that:

(1) establishes standards for the organization and operation of hospitals;

(2) requires the hospital to undergo a survey process for a fee paid by the hospital; and

(3) was organized and formed in 1951.

(b) This section does not prohibit a health maintenance organization from using performance indicators or quality standards that:

(1) are developed by private organizations; and

(2) do not rely upon a survey process for a fee charged to the hospital to evaluate performance.

As added by P.L.259-1995, SEC.3.

IC 27-13-7Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

27-13-7-0.1Application of certain amendments to chapter 27-13-7-1Persons entitled to copies of contracts 27-13-7-2Deceptive contract provisions prohibited 27-13-7-3Contract provisions 27-13-7-4Compliance with requirements; ten day grace period 27-13-7-5Evidence of coverage 27-13-7-6Evidence of coverage; prohibited provisions 27-13-7-7Evidence of coverage; required statement 27-13-7-7.5Prohibition on coverage of abortion; exceptions; coverage through rider or endorsement 27-13-7-8Readability standards 27-13-7-9Approval of forms by commissioner 27-13-7-10Coverage outside Indiana; commissioner's approval not required 27-13-7-11Filing of form with commissioner; review period; approval; withdrawal of approval; hearing 27-13-7-12Additional information required by commissioner 27-13-7-13Continuation of coverage statement 27-13-7-14Post-mastectomy coverage 27-13-7-14.2"Treatment of a mental illness or substance abuse"; "act"; "nonquantitative treatment limitations"; reporting and analysis requirements for individual and group contracts 27-13-7-14.5Coverage for nonexperimental, surgical treatment of morbid obesity 27-13-7-14.7Coverage for autism spectrum disorders 27-13-7-14.8Treatment limitations or financial requirements on coverage of services for mental illness 27-13-7-15Dental care provisions required 27-13-7-15.3Breast cancer screening mammography 27-13-7-16Prostate specific antigen test 27-13-7-17Coverage for colorectal cancer screening; exception for grandfathered health plans 27-13-7-18Inherited metabolic disease coverage 27-13-7-19Coverage for orthotic devices and prosthetic devices 27-13-7-20Prohibition on chemotherapy coverage limitations 27-13-7-20.1Individual or group contract providing coverage for prescription eye drops; refill of prescription eye drops; requirements 27-13-7-20.2Coverage for care related to cancer clinical trials 27-13-7-20.4Applicability; coverage for methadone for treatment of pain 27-13-7-21High breast density 27-13-7-22Coverage of telehealth services; prohibition on requiring use of specific information technology application 27-13-7-23Step therapy protocol 27-13-7-24Coverage for anatomical gifts, transplantation, or related health care services 27-13-7-24.5Coverage for chronic pain management 27-13-7-26Coverage for pediatric neuropsychiatric disorders 27-13-7-27Reimbursement for emergency medical services 27-13-7-28Mental health detention as medically necessary 27-13-7-28.5Coverage for wearable cardioverter defibrillators 27-13-7-29.5Coverage for prescription drugs for advanced, metastatic cancer and associated conditions