Sec. 5. "Capitated basis" means fixed per member per month payment or percentage of premium payment under which the provider assumes the full risk for the cost of contracted services without regard to type, value, or frequency of services provided. For purposes of this definition, capitated basis includes the cost associated with operating staff model facilities.
As added by P.L.26-1994, SEC.25.
Structure Indiana Code
Article 13. Health Maintenance Organizations
27-13-1-1. Applicability of Definitions
27-13-1-4. "Basic Health Care Services"
27-13-1-10. "Covered by a Health Maintenance Organization"
27-13-1-11.5. "Dialysis Facility"
27-13-1-13. "Evidence of Coverage"
27-13-1-13.5. "Experimental Treatment"
27-13-1-14. "Extension of Benefits"
27-13-1-17. "Group Contract Holder"
27-13-1-18. "Health Care Services"
27-13-1-19. "Health Maintenance Organization"
27-13-1-20. "In-Plan Covered Services"
27-13-1-21. "Individual Contract"
27-13-1-21.3. "Insurance Producer"
27-13-1-21.5. "Managed Hospital Payment Basis"
27-13-1-23. "Out-of-Plan Covered Services"
27-13-1-24. "Participating Provider"
27-13-1-26. "Point-of-Service Product"
27-13-1-27. "Limited Service Health Maintenance Organization"
27-13-1-27.5. "Primary Care Provider"
27-13-1-28.5. "Quality Assurance"
27-13-1-30. "Replacement Coverage"