Sec. 1.5. (a) This section applies only to claims submitted for payment by nursing facilities.
(b) If the office:
(1) fails to pay a clean claim in the time required under section 1(b) of this chapter; or
(2) denies or suspends a claim that is subsequently determined to have been a clean claim when the claim was filed;
the office shall pay the provider interest on the Medicaid allowable amount of the claim.
(c) Interest paid under subsection (b):
(1) accrues beginning:
(A) twenty-two (22) days after the date the claim is filed under section 1(b)(1) of this chapter; or
(B) thirty-one (31) days after the date the claim is filed under section 1(b)(2) of this chapter; and
(2) stops accruing on the date the office pays the claim.
(d) The office shall pay interest under subsection (b) at the same rate as determined under IC 12-15-21-3(7)(A).
As added by P.L.107-1996, SEC.6 and P.L.257-1996, SEC.6. Amended by P.L.42-2011, SEC.29.
Structure Indiana Code
Chapter 13. Provider Payment; General
12-15-13-0.1. Application of Certain Amendments to Chapter
12-15-13-0.6. "Clean Claim" for Purposes of Ic 12-15-14
12-15-13-0.7. Addition, Deletion, or Modification of Locators
12-15-13-1.5. Payment of Interest on Claims Submitted by Nursing Facilities
12-15-13-1.6. Payment, Denial, or Suspension of Claims; Notice of Suspension or Denial
12-15-13-1.7. Timing of Payment or Denial of Claims; Payment of Interest
12-15-13-3.5. Recovery of Overpayment to Noninstitutional Provider; Appeal
12-15-13-4. Recovery of Overpayment to Institutional Provider; Appeal
12-15-13-6. Notices or Bulletins; Timing; Noncompliance