Sec. 18.7. (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 to provide emergency medical services.
(2) Is a Medicaid provider.
(b) Beginning July 1, 2023, the office of the secretary shall reimburse an emergency medical services provider organization for Medicaid covered services to a Medicaid recipient, including:
(1) advanced life support services;
(2) basic life support services; and
(3) nonemergency medical transportation services;
that are within the emergency medical services provider organization's scope of practice at a rate that is comparable to the federal Medicare reimbursement rate for the service provided by the emergency medical services provider organization. However, the reimbursement rate specified in this subsection may not be implemented by the office of the secretary before July 1, 2023.
(c) Before September 1, 2022, the office of the secretary shall apply to the United States Department of Health and Human Services for any state plan amendment or waiver necessary to implement this section and IC 12-15-12-18.5.
As added by P.L.142-2022, SEC.1.
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