Sec. 1.7. (a) This section does not apply to claims submitted for payment by nursing facilities.
(b) The office shall pay or deny each clean claim as follows:
(1) If the claim is filed electronically, within twenty-one (21) days after the date the claim is received by:
(A) the office; or
(B) a contractor of the office under IC 12-15-30, if IC 12-15-30 applies.
(2) If the claim is filed on paper, within thirty (30) days after the date the claim is received by:
(A) the office; or
(B) a contractor of the office under IC 12-15-30, if IC 12-15-30 applies.
(c) If:
(1) the office fails to pay or deny a clean claim in the time required under subsection (b); and
(2) the office or a contractor of the office under IC 12-15-30 subsequently pays the claim;
the office shall pay the provider that submitted the claim interest on the Medicaid allowable amount of the claim paid under this section.
(d) Interest paid under subsection (c) shall:
(1) begin accruing:
(A) twenty-two (22) days after the date the claim is filed under subsection (b)(1); or
(B) thirty-one (31) days after the date the claim is filed under subsection (b)(2); and
(2) stop accruing on the date the claim is paid.
(e) In paying interest under subsection (c), the office shall use the same interest rate as provided in IC 12-15-21-3(7)(A).
As added by P.L.107-1996, SEC.8 and P.L.257-1996, SEC.8.
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