Indiana Code
Chapter 5. Services Provided
12-15-5-14. Reimbursement for Services Provided by Advanced Practice Registered Nurse; Eligible Provider

Sec. 14. (a) As used in this section, "advanced practice registered nurse" means:
(1) a nurse practitioner; or
(2) a clinical nurse specialist;
who is a registered nurse licensed under IC 25-23 and qualified to practice nursing in a specialty role based upon the additional knowledge and skill gained through a formal organized program of study and clinical experience, or the equivalent as determined by the Indiana state board of nursing.
(b) As used in this section, "office" includes the following:
(1) The office of the secretary of family and social services.
(2) A managed care organization that has contracted with the office of Medicaid policy and planning under this article.
(3) A person that has contracted with a managed care organization described in subdivision (2).
(c) The office shall reimburse eligible Medicaid claims for the following services provided by an advanced practice registered nurse employed by a community mental health center if the services are part of the advanced practice registered nurse's scope of practice:
(1) Mental health services.
(2) Behavioral health services.
(3) Substance abuse treatment.
(4) Primary care services.
(5) Evaluation and management services for inpatient or outpatient psychiatric treatment.
(6) Prescription drugs.
(d) The office shall include an advanced practice registered nurse as an eligible provider for the supervision of a plan of treatment for a patient's outpatient mental health or substance abuse treatment services, if the supervision is in the advanced practice registered nurse's scope of practice, education, and training.
(e) This section:
(1) may not be construed to expand an advanced practice registered nurse's scope of practice; and
(2) is subject to IC 25-23-1-19.4(c) and applies only if the service is included in the advanced practice registered nurse's practice agreement with a collaborating physician.
As added by P.L.87-2016, SEC.4. Amended by P.L.85-2017, SEC.58; P.L.129-2018, SEC.5.

Structure Indiana Code

Indiana Code

Title 12. Human Services

Article 15. Medicaid

Chapter 5. Services Provided

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

12-15-5-3. Repealed

12-15-5-5. Office May Provide Drug Coverage; Requirements for Drug Coverage in Managed Care

12-15-5-6. Repealed

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

12-15-5-10. Care Available for Individuals Receiving Medicaid Waiver Services; Eligibility Not Affected by Receipt of Services

12-15-5-11. "Telehealth Services"; Reimbursement; Prohibition on Distance Restrictions and Location Requirements; Waiver of Confidentiality; Community Mental Health Centers; Rules

12-15-5-12. "Child"; Reimbursement for Specialized or Nonstandard Wheelchairs; Prior Authorization

12-15-5-13. Coverage for Treatment of Opioid or Alcohol Dependence; Office Requirements; Report Use of Medications to Committee

12-15-5-14. Reimbursement for Services Provided by Advanced Practice Registered Nurse; Eligible Provider

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

12-15-5-17.5. Report on Implementation of Risk Based Managed Care Program; Request for Proposal; Budget Committee Review

12-15-5-18. Emergency Medical Service Provider Agencies; Reimbursement; Federal Approval

12-15-5-18.2. Mobile Integrated Healthcare Program; Authority to Apply for a Waiver and for Federal Funding

12-15-5-18.5. Reimbursement for Emergency Medical Services

12-15-5-18.7. Reimbursement for Emergency Medical Services Provider Organizations; Waiver or State Plan Amendment

12-15-5-19. Medicaid Rehabilitation Option Service; Review; Determination on Services; Report; Notification; Contract With Community Mental Health Center

12-15-5-20. "Intensive Outpatient Treatment Program"

12-15-5-21. Community Mental Health Centers; Governmental Units