Sec. 6. A final directive made by the office that:
(1) denies payment to a provider for medical services provided during a specified period; or
(2) terminates a provider agreement permitting a provider's participation in the program;
must direct the provider to inform each eligible recipient of services, before services are provided, that the office will not pay for those services if provided.
As added by P.L.273-1999, SEC.177.
Structure Indiana Code
Article 17.6. Children's Health Insurance Program
Chapter 6. Provider Sanctions, Theft, Kickbacks, and Bribes
12-17.6-6-1. Applicability of Chapter
12-17.6-6-2. Provider Sanctions
12-17.6-6-3. Ineligibility to Participate in Program
12-17.6-6-4. Administrative Review
12-17.6-6-6. Provider to Notify Recipients of Services for Which Office Will Not Pay
12-17.6-6-7. Duration of Final Directive
12-17.6-6-8. Conditions for Reinstatement of Provider Under Sanction
12-17.6-6-9. Provider Filing Agreements Under Sanction
12-17.6-6-10. Ineligibility of Provider Under Sanction to Submit Claims
12-17.6-6-11. Prima Facie Evidence of Intent to Deprive State of Value