Indiana Code
Chapter 12. Managed Care
12-15-12-6. Admission to Hospital by Physician Other Than Managed Care Provider; Notification of Managed Care Provider; Services for Which Payment Made

Sec. 6. (a) A Medicaid recipient may be admitted to a hospital by a physician other than the recipient's managed care provider if the recipient requires immediate medical treatment.
(b) The admitting physician shall notify the recipient's managed care provider of the recipient's admission not more than forty-eight (48) hours after the recipient's admission.
(c) Payment for services provided a recipient admitted to a hospital under this section shall be made only for services that the office or the contractor under IC 12-15-30 determines were medically reasonable and necessary.
[Pre-1992 Revision Citation: 12-1-7-16.1(e).]
As added by P.L.2-1992, SEC.9.

Structure Indiana Code

Indiana Code

Title 12. Human Services

Article 15. Medicaid

Chapter 12. Managed Care

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

12-15-12-1. Providers From Whom Recipients May Obtain Services Other Than Physician Services; Exceptions

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. Failure by Recipient to Select Managed Care Provider Within Reasonable Time; Assignment by Office; Exception

12-15-12-4.5. Managed Care Prescription Drug Program Requirements

12-15-12-5. Circumstances Permitting Recipient to Receive Physician Services From Provider Other Than Managed Care Provider; Exceptions

12-15-12-6. Admission to Hospital by Physician Other Than Managed Care Provider; Notification of Managed Care Provider; Services for Which Payment Made

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

12-15-12-13. Permitted Forms

12-15-12-14. Repealed

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

12-15-12-19. Repealed

12-15-12-20. Child Lead Poisoning Screening

12-15-12-21. Accreditation

12-15-12-22. Accepting, Receiving, and Processing Electronic Claims

12-15-12-23. Psychiatrist Practicing in Community Mental Health Center