Title 12, TITLE 12. HUMAN SERVICES
337 chapters · 3,371 sections in this title.
Ind. Code § 12-10-11.5-1 "Institution"
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Sec. 1. As used in this chapter, "institution" means any of the following: (1) A health facility licensed under IC 16-28 as a comprehensive care facility. (2) An intermediate care facility for individuals with intellectual disabilities. As added by P.L.274-2003, SEC.5. Amended by…
Ind. Code § 12-10-11.5-2 Subjectivity; responsibility of ensuring costs
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Sec. 2. (a) This chapter is subject to funding available to the office of the secretary of family and social services. (b) The secretary and the director of the state budget agency are responsible for ensuring that the cost of the services provided under this chapter does not exc…
Ind. Code § 12-10-11.5-3 Establishment of home and community based long term care
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services Sec. 3. The office of the secretary of family and social services shall establish a comprehensive program of home and community based long term care services to provide eligible individuals with care that is not more costly than services provided to similarly situated in…
Ind. Code § 12-10-11.5-4 Eligibility
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Sec. 4. An individual who has resided in the state for at least ninety (90) days shall be eligible for the home and community based long term care services program if the individual: (1) participates in, or has been determined to be eligible for, the community and home options to…
Ind. Code § 12-10-11.5-4.5 Functional eligibility assessments and determinations; report
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Sec. 4.5. (a) As used in this section, "functional eligibility assessment" means a review of an individual's functional impairment level to determine whether an individual meets the eligibility requirements for the state's Medicaid aged and disabled waiver. (b) As used in this se…
Ind. Code § 12-10-11.5-5 Access to services
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Sec. 5. The state shall provide access to the following long term care services that are appropriate and needed for an individual who is eligible for these services under this chapter: (1) Any home and community based service that is available through: (A) the community and home …
Ind. Code § 12-10-11.5-6 Determination of savings; report
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Sec. 6. (a) The office of the secretary of family and social services shall annually determine any state savings generated by home and community based services under this chapter by reducing the use of institutional care. (b) The secretary shall annually report to the governor, t…
Ind. Code § 12-10-11.5-7 Use of volunteers
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Sec. 7. When possible, the office of the secretary of family and social services shall make use of volunteers and volunteer groups, including faith based groups, when executing its duties under this chapter. As added by P.L.274-2003, SEC.5.
Ind. Code § 12-10-11.5-8 Reimbursement for certain services; home and community
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based services; limitations on office concerning assisted living services; rules Sec. 8. (a) As used in this chapter, "assisted living services" refers to services covered under a waiver and provided in any of the following entities: (1) A residential care facility licensed under…
Ind. Code § 12-10-11.5-9 Issuance of written findings of inspection; time frame
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Sec. 9. If the division performs inspections for compliance with state and federal home and community based services requirements, the division shall issue written findings to the person inspected not later than thirty (30) calendar days after the date of inspection. As added by …
Ind. Code § 12-15-11.5-0.5 Nonapplicability to certain managed care organizations
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Sec. 0.5. This chapter does not apply to a managed care organization that, on or before July 1, 2000, did not directly contract with a hospital (as defined in section 1 of this chapter) for the provision of services under the office's managed care program. As added by P.L.141-200…
Ind. Code § 12-15-11.5-1 "Hospital"
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Sec. 1. As used in this chapter, "hospital" refers to an acute care hospital provider that: (1) is licensed under IC 16-21; (2) qualifies as a disproportionate share hospital under IC 12-15-16; and (3) is the sole disproportionate share hospital in a city located in a county havi…
Ind. Code § 12-15-11.5-10 Arbitration of disputed claims
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Sec. 10. A hospital and the managed care organization of the office shall use the arbitration procedure in section 8 of this chapter for the resolution of all disputed claims that have accrued as of March 17, 2000. As added by P.L.220-2011, SEC.265. Amended by P.L.152-2017, SEC.1…
Ind. Code § 12-15-11.5-2 Hospital as contracted provider to eligible individuals
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Sec. 2. The office's managed care organization shall regard a hospital as a contracted provider in the office's managed care program, which provides a capitated prepayment managed care system, for the provision of medical services to each individual who: (1) is eligible to receiv…
Ind. Code § 12-15-11.5-3 Repealed
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As added by P.L.142-2000, SEC.2. Amended by P.L.141-2001, SEC.3; P.L.122-2002, SEC.1. Repealed by P.L.145-2005, SEC.30.
Ind. Code § 12-15-11.5-3.1 Repealed
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As added by P.L.145-2005, SEC.1. Repealed by P.L.1-2007, SEC.248.
Ind. Code § 12-15-11.5-4 Repealed
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As added by P.L.142-2000, SEC.2. Repealed by P.L.1-2002, SEC.172. IC 12-15-11.5-4.1 Repealed As added by P.L.141-2001, SEC.4. Amended by P.L.122-2002, SEC.2. Repealed by P.L.145-2005, SEC.30.
Ind. Code § 12-15-11.5-4.2 Repealed
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As added by P.L.145-2005, SEC.2. Repealed by P.L.1-2007, SEC.248.
Ind. Code § 12-15-11.5-5 Repealed
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As added by P.L.142-2000, SEC.2. Repealed by P.L.1-2002, SEC.172.
Ind. Code § 12-15-11.5-6 Claim for reimbursement treated as disputed claim
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Sec. 6. A claim for reimbursement for services shall be treated as a disputed claim under this chapter if: (1) it is submitted within one hundred twenty (120) days after the date that services are rendered; (2) it is denied by the managed care organization; (3) the hospital submi…
Ind. Code § 12-15-11.5-7 Conclusion of appeal
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Sec. 7. The office's managed care organization must conclude an appeal under section 6(4) of this chapter and notify the hospital of its decision not more than thirty-five (35) days after the managed care organization receives a notice from the hospital disputing the managed care…
Ind. Code § 12-15-11.5-8 Dispute resolution procedure requirements
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Sec. 8. (a) A contract entered into by a hospital with the office's managed care organization for the provision of services under the office's managed care program must include a dispute resolution procedure for all disputed claims. Unless agreed to in writing by the hospital and…
Ind. Code § 12-15-11.5-9 Arbitration process for dispute resolution between hospital
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and managed care organization Sec. 9. The arbitration process described in section 8 of this chapter shall also be followed for resolution of disputed claims between a hospital and the office's managed care organization, if the hospital is not a contracted provider in the office'…
Ind. Code § 12-16-11.5-1 Repealed
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As added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
Ind. Code § 12-16-11.5-2 Repealed
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As added by P.L.120-2002, SEC.27. Repealed by P.L.145-2005, SEC.31.
Ind. Code § 12-16-11.5-3 Repealed
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As added by P.L.120-2002, SEC.27. Repealed by P.L.255-2003, SEC.55.