Indiana Code
Chapter 5. Services Provided
12-15-5-18.5. Reimbursement for Emergency Medical Services

Sec. 18.5. (a) This section applies to an emergency medical services provider organization that meets the following requirements:
(1) Is certified by the Indiana emergency medical services commission as an advanced life support provider organization under rules adopted under IC 16-31-3.
(2) Is a Medicaid provider.
(b) The office of the secretary shall provide reimbursement for Medicaid covered services provided to a Medicaid recipient that are:
(1) rendered by an emergency medical services provider organization that is a Medicaid provider;
(2) within the emergency medical services provider organization's scope of practice;
(3) performed or provided as advanced life support services; and
(4) performed or provided during a response initiated through the 911 system, regardless of whether the patient is transported.
(c) If multiple emergency medical services provider organizations qualify and submit a claim for reimbursement under this section, the office of the secretary:
(1) may reimburse under this section only for one (1) claim per patient encounter; and
(2) shall reimburse the claim submitted by the emergency medical services provider organization that performed or provided the majority of advanced life support services.
(d) The office of the secretary may apply to the United States Department of Health and Human Services for any amendment to the state Medicaid plan or for any Medicaid waiver necessary to implement this section.
As added by P.L.115-2020, SEC.3.

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 Repealed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 Repealed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