Sec. 6. (a) A preferred provider plan may not refuse to enter into an agreement with a hospital solely because the hospital has not obtained accreditation from an accreditation organization that:
(1) establishes standards for the organization and operation of hospitals;
(2) requires the hospital to undergo a survey process for a fee paid by the hospital; and
(3) was organized and formed in 1951.
(b) This section does not prohibit a preferred provider plan from using performance indicators or quality standards that:
(1) are developed by private organizations; and
(2) do not rely upon a survey process for a fee charged to the hospital to evaluate performance.
As added by P.L.259-1995, SEC.2.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 11. Accident and Sickness Insurance─reimbursement Agreements
27-8-11-0.1. Application of Certain Amendments to Chapter
27-8-11-2. Conflicting Provisions
27-8-11-3. Reimbursement Agreements; Immunity
27-8-11-4. Accessibility and Availability Terms; Reasonable Standards
27-8-11-5. Preferred Provider Plans; Filing Sworn Statement
27-8-11-6. Preferred Provider Plans; Hospital Accreditation
27-8-11-7. Provider Credentialing
27-8-11-8. Provider Directories
27-8-11-9. Preferred Provider Agreement Prohibitions
27-8-11-10. Coverage for Dialysis Treatment
27-8-11-11. Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements
27-8-11-13. Fully Credentialed Provider Reimbursement; Requirements