Sec. 12. For a managed care program or demonstration project established or authorized by the office, or established or authorized by another entity or agency working in conjunction with or under agreement with the office, the office must provide for payment to providers in the managed care program that the office finds is reasonable and adequate to meet the costs that must be incurred by efficiently and economically operated providers in order to:
(1) provide care and services in conformity with applicable state and federal laws, regulations, and quality and safety standards; and
(2) ensure that individuals eligible for medical assistance under the managed care program or demonstration project have reasonable access (taking into account geographic location and reasonable travel time) to the services provided by the managed care program.
As added by P.L.93-1995, SEC.3.
Structure Indiana Code
12-15-12-0.3. "Emergency Medical Condition"
12-15-12-0.5. "Emergency Services"
12-15-12-0.7. "Post-Stabilization Care Services"
12-15-12-0.9. Applicability; Medicaid Law Controlling Over Conflicting Insurance Law
12-15-12-2. Providers From Whom Recipients May Receive Physician Services; Exceptions
12-15-12-3. List of Managed Care Providers Furnished Recipient; Providers Included; Exception
12-15-12-4.5. Managed Care Prescription Drug Program Requirements
12-15-12-7. Providers From Whom Recipients May Obtain Eye Care Services Other Than Surgical Services
12-15-12-8. Providers From Whom Recipients May Obtain Foot Care Services
12-15-12-9. Providers From Whom Recipients May Obtain Psychiatric Services
12-15-12-10. Selection or Assignment of Managed Care Provider; Selection of New Provider; Exception
12-15-12-11. Waiver From Department of Health and Human Services; Implementation of Chapter
12-15-12-12. Payments to Providers
12-15-12-15. Coverage for Emergency Services
12-15-12-17. Coverage for Post-Stabilization Care Services
12-15-12-18. Payment for Emergency Services
12-15-12-18.5. Reimbursement for Emergency Medical Services Provider Organizations; Implementation
12-15-12-20. Child Lead Poisoning Screening
12-15-12-22. Accepting, Receiving, and Processing Electronic Claims
12-15-12-23. Psychiatrist Practicing in Community Mental Health Center