Sec. 1.7. Subject to IC 12-16-5.5-3.2(c), if the division fails to complete an investigation and determination of one (1) or more health care items or services identified in a claim within forty-five (45) days after receipt of the claim filed under IC 12-16-4.5, the item or service is considered to have been:
(1) necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(2) a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
As added by P.L.145-2005, SEC.20.
Structure Indiana Code
Article 16. Payment for Health Services Other Than Medicaid
Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review
12-16-6.5-1. Ineligibility Determination; Appeal to Division
12-16-6.5-1.5. Patient Eligibility Determination
12-16-6.5-1.7. Item or Service Eligibility Determination
12-16-6.5-4. Notice of Hearing
12-16-6.5-7. Rules; Administrative Appeal Procedure; Provisions