Sec. 2. (a) Except as provided in IC 12-15-14 and IC 12-15-15, payments to Medicaid providers must be:
(1) consistent with efficiency, economy, and quality of care; and
(2) sufficient to enlist enough providers so that care and services are available under Medicaid, at least to the extent that such care and services are available to the general population in the geographic area.
(b) If federal law or regulations specify reimbursement criteria, payment shall be made in compliance with those criteria.
[Pre-1992 Revision Citation: 12-1-7-17.6(a).]
As added by P.L.2-1992, SEC.9. Amended by P.L.278-1993(ss), SEC.27.
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