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Chapter 1. Medical Services for Inmates and Patients
12-16-1-1. "Affected Agency" Defined - Sec. 1. As used in this chapter, "affected agency" means...
12-16-1-2. "Covered Medical Services" Defined - Sec. 2. As used in this chapter, "covered medical services"...
12-16-1-3. Rules; Adoption; Requisites - Sec. 3. (a) The division shall, with the advice of...
12-16-1-4. Contract for Services; Same Contractor Requirement - Sec. 4. (a) The division shall contract with the same...
12-16-1-5. Payment for Covered Medical Services; Requirements - Sec. 5. Payment for covered medical services approved by the...
Chapter 2. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 2.5. Hospital Care for the Indigent; Administration and General Provisions
12-16-2.5-1. Administration of Program - Sec. 1. The division shall administer the hospital care for...
12-16-2.5-2. Repealed - As added by P.L.120-2002, SEC.18. Amended by P.L.255-2003, SEC.24. Repealed...
12-16-2.5-3. Repealed - As added by P.L.120-2002, SEC.18. Repealed by P.L.145-2005, SEC.31.
12-16-2.5-4. Disproportionate Share of Low Income Patients; Calculating Allowable Disproportionate Share Additional Payments - Sec. 4. To the extent permitted under federal statutes or...
12-16-2.5-5. Program Not Applicable to Inmates and Patients of Certain Institutions - Sec. 5. The hospital care for the indigent program does...
12-16-2.5-6. Repealed - As added by P.L.120-2002, SEC.18. Repealed by P.L.255-2003, SEC.55.
12-16-2.5-6.3. Definitions - Sec. 6.3. For purposes of this article, the following definitions...
12-16-2.5-6.5. Repealed - As added by P.L.145-2005, SEC.4. Amended by P.L.1-2006, SEC.188. Repealed...
Chapter 3. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 3.5. Hospital Care for the Indigent; Eligibility for Assistance
12-16-3.5-1. Resident Eligibility; Emergency Care; Conditions - Sec. 1. (a) An Indiana resident who meets the income...
12-16-3.5-2. Nonresident Eligibility; Emergency Care; Conditions; Qualifications - Sec. 2. (a) An individual who is not an Indiana...
12-16-3.5-3. Rules Establishing Income and Resource Eligibility Standards; Adoption; Conditions - Sec. 3. (a) The division shall adopt rules under IC...
12-16-3.5-4. Statement of Eligibility and Benefit Standards; Requirement - Sec. 4. A provider may provide a patient, and if...
12-16-3.5-5. Repealed - As added by P.L.120-2002, SEC.19. Repealed by P.L.255-2003, SEC.55.
Chapter 4. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 4.5. Hospital Care for the Indigent; Application for Assistance
12-16-4.5-1. Repealed - As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.25; P.L.145-2005,...
12-16-4.5-2. Time Period for Provider Filing Application - Sec. 2. A provider must file the application with the...
12-16-4.5-3. Rules - Sec. 3. Subject to this article, the division shall adopt...
12-16-4.5-4. Repealed - As added by P.L.120-2002, SEC.20. Repealed by P.L.146-2008, SEC.819.
12-16-4.5-5. Assistance in Preparing Application - Sec. 5. A hospital or an attending physician may assist...
12-16-4.5-6. Civil or Criminal Liability Arising From Assistance in Preparation of Application; Immunity - Sec. 6. A person who in good faith provides assistance...
12-16-4.5-7. Signing of Application; Requirements - Sec. 7. (a) A patient must sign an application if...
12-16-4.5-8. Filing Application by Patient or Patient's Representative - Sec. 8. (a) A person or a person's representative may...
12-16-4.5-8.5. Provider Claim Filing Deadline - Sec. 8.5. A claim for services must be filed with...
12-16-4.5-9. Repealed - As added by P.L.120-2002, SEC.20. Repealed by P.L.255-2003, SEC.55.
Chapter 5. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 5.5. Hospital Care for the Indigent; Eligibility Determinations; Investigations
12-16-5.5-1. Repealed - As added by P.L.120-2002, SEC.21. Amended by P.L.255-2003, SEC.28; P.L.145-2005,...
12-16-5.5-1.2. Prompt Review of Claim; Calculation of Claim - Sec. 1.2. (a) The division shall, upon receipt of a...
12-16-5.5-2. Disclosure of Information by Provider; Immunity - Sec. 2. (a) The provider of medical care to a...
12-16-5.5-3. Denial of Eligibility Claim; Notice; Eligibility Information - Sec. 3. (a) Subject to subsection (b) and IC 12-16-6.5-1.5,...
12-16-5.5-3.2. Denial of Item or Service Claim; Notice; Item or Service Information - Sec. 3.2. (a) Subject to subsection (b) and IC 12-16-6.5-1.7,...
12-16-5.5-4. Notification to Person and Provider; Requirements - Sec. 4. The division shall notify in writing the person...
12-16-5.5-5. Repealed - As added by P.L.120-2002, SEC.21. Repealed by P.L.255-2003, SEC.55.
Chapter 6. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review
12-16-6.5-1. Ineligibility Determination; Appeal to Division - Sec. 1. If the division determines that a person is...
12-16-6.5-1.2. Appeal; Notice - Sec. 1.2. (a) If the division determines that an item...
12-16-6.5-1.5. Patient Eligibility Determination - Sec. 1.5. Subject to IC 12-16-5.5-3(c), if the division fails...
12-16-6.5-1.7. Item or Service Eligibility Determination - Sec. 1.7. Subject to IC 12-16-5.5-3.2(c), if the division fails...
12-16-6.5-2. Repealed - As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.32. Repealed...
12-16-6.5-3. Hearing - Sec. 3. The division shall fix a time and place...
12-16-6.5-4. Notice of Hearing - Sec. 4. A notice of the hearing shall be served...
12-16-6.5-5. Determination of Eligibility for Assistance and Health Care Items or Services; Entitled to Assistance - Sec. 5. (a) If the division receives an application that...
12-16-6.5-6. Appeal - Sec. 6. A person, hospital, physician, or transportation provider aggrieved...
12-16-6.5-7. Rules; Administrative Appeal Procedure; Provisions - Sec. 7. (a) The division shall adopt rules under IC...
12-16-6.5-8. Repealed - As added by P.L.120-2002, SEC.22. Repealed by P.L.255-2003, SEC.55.
Chapter 7. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment
12-16-7.5-1. Repealed - As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.35. Repealed...
12-16-7.5-1.2. Eligible Patient Not Financially Obligated; Payment - Sec. 1.2. (a) A person determined to be eligible under...
12-16-7.5-2. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
12-16-7.5-2.5. Segregation of Payable Claims by Fiscal Year; Division Determination of Amount of Payment - Sec. 2.5. (a) Payable claims shall be segregated by state...
12-16-7.5-3. Warrant on Fund; Payment - Sec. 3. (a) A payment made to a physician or...
12-16-7.5-4. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
12-16-7.5-4.5. Calculation and Allocation of Funds Available for Payments From the State Hospital Care for the Indigent Fund - Sec. 4.5. (a) Not later than October 31 following the...
12-16-7.5-5. Pro Rata Payments to Physicians and Transportation Providers; Limitation - Sec. 5. Before December 15 following the end of each...
12-16-7.5-6. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
12-16-7.5-7. Responsibility for the Payment of Hospital Care; Limitations - Sec. 7. The division is not responsible under the hospital...
12-16-7.5-8. No Liability for Cost of Care Provided to Patient Described in Specified Rules - Sec. 8. The division is not liable for any part...
12-16-7.5-9. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.146-2008, SEC.819.
12-16-7.5-10. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.146-2008, SEC.819.
12-16-7.5-11. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
12-16-7.5-12. Agreement to Accept Payment as Payment in Full - Sec. 12. All providers receiving payment under section 1.2 of...
12-16-7.5-13. Repealed - As added by P.L.120-2002, SEC.23. Repealed by P.L.255-2003, SEC.55.
Chapter 8. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 8.5. Repealed - Repealed by P.L.212-2007, SEC.31; P.L.218-2007, SEC.52.
Chapter 9. Repealed - [Pre-1992 Revision Citation: Repealed by P.L.283-2001, SEC.40.
Chapter 9.5. Hospital Care for the Indigent; Rate of Payment
12-16-9.5-1. Rate of Payment for Services and Materials Same as Rates Under Medicaid - Sec. 1. Notwithstanding any other provision of this article, the...
12-16-9.5-2. Repealed - As added by P.L.120-2002, SEC.25. Repealed by P.L.255-2003, SEC.55.
Chapter 10. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 10.5. Hospital Care for the Indigent; Rules
12-16-10.5-1. Adopting Rules; Requisites - Sec. 1. The division shall, with the advice of the...
12-16-10.5-2. Consistency of Adopted Rules With Other Medicaid Rules - Sec. 2. To the extent possible, rules adopted under section...
12-16-10.5-3. Rules Denying Payment for Services to Medically Stable and Safely Discharged Patients - Sec. 3. The rules adopted under section 1 of this...
12-16-10.5-4. Statewide Data Collection System; Requirements; Filing Copies of Submitted Claims - Sec. 4. (a) The division shall adopt rules under IC...
12-16-10.5-5. Rules for Appeals; Consistency With Other Rules - Sec. 5. The division may adopt rules under IC 4-22-2...
12-16-10.5-6. Repealed - As added by P.L.120-2002, SEC.26. Repealed by P.L.255-2003, SEC.55.
Chapter 11. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 11.5. Hospital Care for the Indigent; Recovery of Payments by Division
12-16-11.5-1. Repealed - As added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
12-16-11.5-2. Repealed - As added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
12-16-11.5-3. Repealed - As added by P.L.120-2002, SEC.27. Repealed by P.L.255-2003, SEC.55.
Chapter 12. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 12.5. Repealed - Repealed by P.L.212-2007, SEC.31; P.L.218-2007, SEC.52.
Chapter 13. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 13.5. Hospital Care for the Indigent; Immunity
12-16-13.5-1. Limited Immunity From Liability - Sec. 1. A hospital, a physician, or an agent or...
12-16-13.5-2. Liability Not Limited for Determination That Patient's Medical Condition Permits Transfer - Sec. 2. Section 1(1) of this chapter does not limit...
12-16-13.5-3. Repealed - As added by P.L.120-2002, SEC.29. Repealed by P.L.255-2003, SEC.55.
Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds
12-16-14-1. Repealed - [Pre-1992 Revision Citation: 12-5-6-16(a).] As added by P.L.2-1992, SEC.10. Amended...
12-16-14-2. Repealed - [Pre-1992 Revision Citation: 12-5-6-16(b).] As added by P.L.2-1992, SEC.10. Repealed...
12-16-14-3. Repealed - [Pre-1992 Revision Citation: 12-5-6-16(d).] As added by P.L.2-1992, SEC.10. Amended...
12-16-14-3.4. Repealed - As added by P.L.283-2001, SEC.28. Amended by P.L.120-2002, SEC.31. Repealed...
12-16-14-3.7. Repealed - As added by P.L.283-2001, SEC.29. Amended by P.L.120-2002, SEC.32. Repealed...
12-16-14-4. Repealed - [Pre-1992 Revision Citation: 12-5-6-16(f).] As added by P.L.2-1992, SEC.10. Amended...
12-16-14-5. Repealed - [Pre-1992 Revision Citation: 12-5-6-16(g).] As added by P.L.2-1992, SEC.10. Repealed...
12-16-14-6. State Hospital Care for the Indigent Fund - Sec. 6. The state hospital care for the indigent fund...
12-16-14-7. State Fund Components - Sec. 7. The state hospital care for the indigent fund...
12-16-14-8. Administration and Use of State Fund - Sec. 8. The division shall administer the state hospital care...
12-16-14-9. Reversion of State Fund - Sec. 9. Money in the state hospital care for the...
12-16-14-10. Repealed - As added by P.L.277-1993(ss), SEC.82. Repealed by P.L.80-1994, SEC.2.
Chapter 14.1. Repealed - Repealed by P.L.255-2003, SEC.55.
Chapter 15. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 15.5. Repealed - Repealed by P.L.146-2008, SEC.819.
Chapter 16. Repealed - [Pre-1992 Revision Citations: Repealed by P.L.283-2001, SEC.40.
Chapter 16.5. Hospital Care for the Indigent; Review of Medical Criteria
12-16-16.5-1. Review by Division of Changes in Medical Criteria Used in Determining Eligibility - Sec. 1. The division shall review changes made after 1985...
12-16-16.5-2. Review; Requisites - Sec. 2. The division's review under this chapter must include...
12-16-16.5-3. Report - Sec. 3. The division shall provide to an interested party...
12-16-16.5-4. Repealed - As added by P.L.120-2002, SEC.39. Repealed by P.L.255-2003, SEC.55.
Chapter 17. Health and Hospital Corporation of Marion County
12-16-17-1. Annual Transfer - Sec. 1. The office of the secretary of family and...
12-16-17-2. Annual Transfer Made in Four Equal Installments - Sec. 2. A transfer required in a calendar year under...
12-16-17-3. Reduction in Maximum Permissible Property Tax Levy - Sec. 3. The maximum permissible property tax levy that a...