or services; entitled to assistance Sec. 5. (a) If the division receives an application that was filed on behalf of a person under IC 12-16-4.5, the division shall determine: (1) the eligibility of the person for assistance under the hospital care for the indigent program; and (2) if the health care items or services provided to the person and identified in a claim filed with the division under IC 12-16-4.5 were: (A) necessitated by at least one (1) medical condition listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or (B) the direct consequence of at least one (1) of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3). (b) If: (1) the person, initially or upon appeal, is found eligible for assistance; and (2) at least one (1) of the items or services identified in the claim is determined initially or upon appeal: (A) to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or (B) to be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3); the person is entitled to assistance for those items and services. As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.34; P.L.145-2005, SEC.21.
IC 12-16-6.5-6 Appeal Sec. 6. A person, hospital, physician, or transportation provider aggrieved by a determination of an appeal taken under section 1 or 1.2 of this chapter may appeal the determination under IC 4-21.5. As added by P.L.120-2002, SEC.22. Amended by P.L.145-2005, SEC.22.