Indiana Code
Chapter 8. Group Insurance for Public Employees
5-10-8-10.5. Dental Care Provisions Required

Sec. 10.5. (a) As used in this section, "child" means an individual who is less than nineteen (19) years of age.
(b) As used in this section, "covered individual" means a child or an individual:
(1) with a physical or mental impairment that substantially limits one (1) or more of the major life activities of the individual; or
(2) who:
(A) has a record of; or
(B) is regarded as;
having an impairment described in subdivision (1).
(c) If the state enters into a contract for basic health care services (as defined in IC 27-13-1-4) through prepaid health care delivery plans, medical self-insurance, or group health insurance for state employees, the contract must include coverage for anesthesia and hospital charges for dental care for a covered individual if the mental or physical condition of the covered individual requires dental treatment to be rendered in a hospital or an ambulatory outpatient surgical center. The Indications for General Anesthesia, as published in the reference manual of the American Academy of Pediatric Dentistry, are the utilization standards for determining whether performing dental procedures necessary to treat the covered individual's condition under general anesthesia constitutes appropriate treatment.
(d) A health care contractor that issues a contract for basic health care services as described in subsection (c) may:
(1) require prior authorization for hospitalization or treatment in an ambulatory outpatient surgical center for dental care procedures in the same manner that prior authorization is required for hospitalization or treatment of other covered medical conditions; and
(2) restrict coverage to include only procedures performed by a licensed dentist who has privileges at the hospital or ambulatory outpatient surgical center.
(e) This section does not apply to treatment rendered for temporal mandibular joint disorders (TMJ).
As added by P.L.189-1999, SEC.1.

Structure Indiana Code

Indiana Code

Title 5. State and Local Administration

Article 10. Public Employee Benefits

Chapter 8. Group Insurance for Public Employees

5-10-8-0.1. Application of Certain Amendments to Chapter

5-10-8-0.3. Use of Certain Accrued Benefits by State Employees

5-10-8-0.4. Legalization of Certain Payments of Deductible Portion of Group Health Insurance

5-10-8-0.5. Repealed

5-10-8-1. Definitions

5-10-8-2. Repealed

5-10-8-2.1. Repealed

5-10-8-2.2. Public Safety Employees; Surviving Spouses; Dependents

5-10-8-2.5. Repealed

5-10-8-2.6. Local Unit Public Employers and Employees; Programs; Self-Insurance; Payment of Part of Cost; Noncancelability; Retired Employees

5-10-8-2.7. Insurance of Rostered Volunteers

5-10-8-3. Repealed

5-10-8-3.1. Employees Withholding From Salaries or Wages; Retired Employees; Assignment of Part of Retirement Benefit

5-10-8-4. Discrimination as to Form of Insurance Between Certain Employees; Exception

5-10-8-5. Establishment of Common and Unified Plan of Group Insurance

5-10-8-6. Establishment of Common and Unified Plans by State Law Enforcement Agencies; Trust Fund for Prefunding State Contributions and Opeb Liability; Submission of Plan Documents to Budget Agency and Inprs

5-10-8-6.5. General Assembly Members and Former Members

5-10-8-6.6. Repealed

5-10-8-6.7. Election of State Employee Health Care Program by School Corporation

5-10-8-7. Group Insurance; Self-Insurance; Health Services; Disability Plans; Trust Fund for Prefunding State Contributions and Opeb Liability; Investments

5-10-8-7.1. Coverage for Autism Spectrum Disorder

5-10-8-7.2. Breast Cancer; Definitions; Self-Insurance Programs; Health Maintenance Organizations; Diagnostic Services

5-10-8-7.3. Early Intervention Services for First Steps Children

5-10-8-7.5. Prostate Specific Antigen Test

5-10-8-7.7. Surgical Treatment for Morbid Obesity

5-10-8-7.8. Colorectal Cancer Testing Coverage; Exception for High Deductible Health Plans

5-10-8-8. Retired Employees; Ability of Employer to Pay Premiums; Eligibility

5-10-8-8.1. Retired Legislators

5-10-8-8.2. Former Legislators

5-10-8-8.3. Former State and Legislative Employees; Health Benefit Plans

5-10-8-8.4. Revocation or Alteration by Employer

5-10-8-8.5. Establishment of Retiree Health Benefit Trust Fund

5-10-8-9. Coverage of Services for Mental Illness

5-10-8-10. Examining Infants for Hiv; Payment

5-10-8-10.5. Dental Care Provisions Required

5-10-8-11. Use of Diagnostic or Procedure Codes

5-10-8-12. Department Report of the Number of Stimulant Medication Prescriptions for Covered Children Diagnosed With Certain Disorders

5-10-8-13. Mail Order or Internet Based Pharmacy

5-10-8-14. Coverage for Prosthetic Devices

5-10-8-14.8. Employee Health Plan Providing Coverage for Prescription Eye Drops

5-10-8-14.9. Coverage of Methadone

5-10-8-15. Coverage for Care Related to Cancer Clinical Trials

5-10-8-16. High Breast Density

5-10-8-16.5. Post-Mastectomy Coverage

5-10-8-17. Step Therapy Protocol

5-10-8-18. Prescription Drug Coverage

5-10-8-19. Prior Authorization

5-10-8-20. Right to Provide Prescription Cost Information; Point of Sale Cost Limit; Pharmacist May Not Be Required to Collect Higher Copayment

5-10-8-21. Coverage for Anatomical Gifts, Transplantation, or Related Health Care Services

5-10-8-22. Coverage for Chronic Pain Management

5-10-8-22.5. Amount Paid for Prescription Drug to Be Counted Against Deductible

5-10-8-23. Reimbursement for Emergency Medical Services

5-10-8-24. Coverage for Pediatric Neuropsychiatric Disorders

5-10-8-25. Disability Plans; Correctional Officer