Sec. 1. (a) Except as provided in sections 10, 11, 12, and 13 of this chapter, this chapter applies beginning September 1, 2018.
(b) This chapter does not apply to a step therapy protocol exception procedure under IC 27-8-5-30 or IC 27-13-7-23.
(c) This chapter does not apply to a health plan that is offered by a local unit public employer under a program of group health insurance provided under IC 5-10-8-2.6.
As added by P.L.77-2018, SEC.2.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 37.5. Health Care Service Prior Authorization
27-1-37.5-1. Application of Chapter
27-1-37.5-2. "Covered Individual"
27-1-37.5-4. "Health Care Service"
27-1-37.5-6. "Participating Provider"
27-1-37.5-7. "Prior Authorization"
27-1-37.5-8. "Urgent Care Situation"
27-1-37.5-10. Request for Prior Authorization; Electronic Transmission; Standardized Form
27-1-37.5-11. Response to Request for Prior Authorization; Timing; Incomplete Request
27-1-37.5-12. Claim for Which Prior Authorization Was Given; Denial; Resubmission of Claim
27-1-37.5-14. Contrary Contract Provision Void
27-1-37.5-15. Violation of Chapter
27-1-37.5-16. Department of Insurance; Standardized Prior Authorization Form