Prohibition on retroactive rate reduction; notice requirement

Ind. Code § 27-13-36.2-4.7, under Provider Payment.

Ind. Code § 27-13-36.2-4.7

Sec. 4.7. (a) A health maintenance organization may not retroactively reduce the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3). (b) A health maintenance organization shall provide at least sixty (60) days notice by: (1) mail or electronic mail to a provider; and (2) posting on the health maintenance organization's website; before prospectively reducing the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3).

As added by P.L.88-2026, SEC.14.