Note: This version of section effective 8-5-2022. See also preceding version of this section, effective until 8-5-2022.
Sec. 1. (a) Except as provided in IC 12-15-2-12, IC 12-15-6, and IC 12-15-21, the following services and supplies are provided under Medicaid:
(1) Inpatient hospital services.
(2) Nursing facility services.
(3) Physician's services, including services provided under IC 25-10-1 and IC 25-22.5-1.
(4) Outpatient hospital or clinic services.
(5) Home health care services.
(6) Private duty nursing services.
(7) Physical therapy and related services.
(8) Dental services.
(9) Prescribed laboratory and x-ray services.
(10) Prescribed drugs and pharmacist services.
(11) Eyeglasses and prosthetic devices.
(12) Optometric services.
(13) Diagnostic, screening, preventive, and rehabilitative services.
(14) Podiatric medicine services.
(15) Hospice services.
(16) Services or supplies recognized under Indiana law and specified under rules adopted by the office.
(17) Family planning services except the performance of abortions.
(18) Nonmedical nursing care given in accordance with the tenets and practices of a recognized church or religious denomination to an individual qualified for Medicaid who depends upon healing by prayer and spiritual means alone in accordance with the tenets and practices of the individual's church or religious denomination.
(19) Services provided to individuals described in IC 12-15-2-8.
(20) Services provided under IC 12-15-34 and IC 12-15-32.
(21) Case management services provided to individuals described in IC 12-15-2-13.
(22) Any other type of remedial care recognized under Indiana law and specified by the United States Secretary of Health and Human Services.
(23) Examinations required under IC 16-41-17-2(a)(10).
(24) Inpatient substance abuse detoxification services.
(25) Chronic pain management.
(26) Donated breast milk that meets requirements developed by the office of Medicaid policy and planning.
(b) The office shall do the following:
(1) Apply to the United States Department of Health and Human Services for any state plan amendment or waiver necessary to implement the services or supplies described in subsection (a)(26).
(2) Develop requirements for donated breast milk as described in subsection (a)(26).
(3) As soon as practicable, but not later than January 1, 2023, the office shall:
(A) seek any necessary approval from the United States Department of Health and Human Services; and
(B) adopt any written policies, procedures, or regulations determined necessary;
to provide reimbursement for long-acting reversible contraception. This subdivision expires June 30, 2023.
[Pre-1992 Revision Citation: 12-1-7-14.6 part.]
As added by P.L.2-1992, SEC.9. Amended by P.L.24-1997, SEC.48; P.L.149-2001, SEC.1; P.L.274-2013, SEC.1; P.L.154-2015, SEC.2; P.L.210-2015, SEC.47; P.L.149-2019, SEC.4; P.L.117-2022, SEC.3; P.L.180-2022(ss), SEC.15.
Structure Indiana Code
12-15-5-1. Services and Supplies Provided; Exceptions
12-15-5-1-b. Services and Supplies Provided; Exceptions
12-15-5-2. Necessity of Federal Financial Participation
12-15-5-5. Office May Provide Drug Coverage; Requirements for Drug Coverage in Managed Care
12-15-5-7. Reimbursement for Doula Services; Rules
12-15-5-8. Maintenance Drugs; Prescriptions; Internet Based Pharmacies
12-15-5-9. Provision of Self-Directed Care Options
12-15-5-9.2. Coverage for Care Related to Cancer Clinical Trials
12-15-5-12. "Child"; Reimbursement for Specialized or Nonstandard Wheelchairs; Prior Authorization
12-15-5-14.5. Eligible Providers for Supervising Treatment Plan
12-15-5-15. Reimbursement for Students; Conditions; Policies
12-15-5-16. Reimbursement for Clinical Addiction Counselors; Clinical Supervision Requirement
12-15-5-18. Emergency Medical Service Provider Agencies; Reimbursement; Federal Approval
12-15-5-18.5. Reimbursement for Emergency Medical Services
12-15-5-20. "Intensive Outpatient Treatment Program"
12-15-5-21. Community Mental Health Centers; Governmental Units