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
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