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
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