Title 12, HUMAN SERVICES

Sec. 5. The director may solicit proposals to employ TANF recipients through a request for proposals, that must include a statement that an employer desiring to participate in the program under section 4 of this chapter shall do the following: (1) Provide health care assistance t…

Sec. 6. The director may do the following: (1) Establish criteria for a request for proposals to stimulate public-private partnerships to promote employment opportunities for TANF recipients and applicants under this chapter. (2) Establish sanctions, including the termination of …

Sec. 7. The secretary may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.2-1997, SEC.34. Amended by P.L.39-2015, SEC.6.

Sec. 8. (a) This section does not apply to an individual who: (1) is less than eighteen (18) years of age; (2) is more than sixty-four (64) years of age; (3) is medically certified as: (A) physically; or (B) mentally; unfit for employment; (4) is pregnant; (5) is a parent or care…

Sec. 0.3. As used in this chapter, "emergency medical condition" means a medical condition manifesting itself by acute symptoms, including severe pain, of sufficient severity that a prudent lay person with an average knowledge of health and medicine could reasonably expect the ab…

Sec. 0.5. As used in this chapter, "emergency services" means covered inpatient and outpatient services that are: (1) furnished by a provider qualified to furnish emergency services; and (2) needed to evaluate or stabilize an emergency medical condition. As added by P.L.223-2001,…

Sec. 0.7. As used in this chapter, "post-stabilization care services" means covered services related to an emergency medical condition that are provided after an enrollee is stabilized in order to maintain the stabilized condition or, under the circumstances described in IC 12-15…

Sec. 0.9. (a) This section applies only with respect to the responsibilities of a managed care organization under: (1) this article; (2) IC 12-17.6; (3) 42 CFR 438; or (4) a rule adopted under a law described in subdivision (1) or (2). (b) Except as provided in IC 27-1-37.5 after…

Sec. 1. Except as provided in sections 6, 7, and 8 of this chapter, a Medicaid recipient may obtain any Medicaid services, with the exception of physician services, from a provider who has entered into a provider agreement under IC 12-15-11. [Pre-1992 Revision Citation: 12-1-7-16…

Sec. 10. (a) A Medicaid recipient who has selected or been assigned a managed care provider under this chapter may not select a new managed care provider for twelve (12) months after the managed care provider was selected or assigned. (b) The office may make an exception to the r…

Sec. 11. The office shall seek the necessary waiver under 42 U.S.C. 1396n(b)(1) from the United States Department of Health and Human Services to implement this chapter. [Pre-1992 Revision Citation: 12-1-7-16.1(j).] As added by P.L.2-1992, SEC.9.

Sec. 12. For a managed care program or demonstration project established or authorized by the office, or established or authorized by another entity or agency working in conjunction with or under agreement with the office, the office must provide for payment to providers in the m…

Sec. 13. (a) The office and an entity with which the office contracts for the payment of claims shall accept claims submitted on any of the following forms by an individual or organization that is a contractor or subcontractor of the office: (1) CMS-1500. (2) CMS-1450 (UB-04). (3…

Sec. 15. A managed care organization shall: (1) cover and pay for all medically necessary screening services provided to an individual who presents to an emergency department with an emergency medical condition; and (2) beginning July 1, 2001, neither deny nor fail to process a c…

Sec. 17. (a) This section applies to post-stabilization care services provided to an individual enrolled in a Medicaid risk based managed care program. (b) The managed care organization through which an individual is enrolled in a risk based managed care program, is financially r…

Sec. 18. (a) Except as provided in subsection (b), this section applies to: (1) emergency services provided to an individual enrolled in a Medicaid risk based managed care program; and (2) medically necessary screening services provided to an individual enrolled in a Medicaid ris…

Sec. 18.5. (a) Except as provided in subsection (b), this section applies to an emergency medical services provider organization that meets the following requirements: (1) Is certified by the Indiana emergency medical services commission to provide emergency medical services. (2)…

Sec. 2. Except as provided in sections 8 and 9 of this chapter, a Medicaid recipient may receive physician services from a managed care provider selected by the recipient from a list of managed care providers furnished the recipient by the office. [Pre-1992 Revision Citation: 12-…

Sec. 20. The office shall develop the following: (1) A measure to evaluate the performance of a managed care organization in screening a child who is less than six (6) years of age for lead poisoning. (2) A system to maintain the results of an evaluation under subdivision (1) in …

Sec. 21. (a) Not later than January 1, 2011, the following must be accredited by the National Committee for Quality Assurance or its successor: (1) A managed care organization that has contracted with the office before July 1, 2008, to provide Medicaid services under a risk based…

Sec. 22. A: (1) managed care organization that has a contract with the office to provide Medicaid services under a risk based managed care program; or (2) behavioral health managed care organization that has contracted with a managed care organization described in subdivision (1)…

Sec. 23. A managed care organization may not require a psychiatrist who is licensed under IC 25-22.5 to be certified by the American Board of Psychiatry and Neurology for purposes of credentialing or contracting with the psychiatrist while the psychiatrist is practicing at a comm…

Sec. 24. The office of the secretary shall establish: (1) metrics to assess: (A) the quality of care provided under; and (B) patient outcomes of; and (2) transparency and accountability safeguards for; the risk based managed care program for the covered population established by …

Sec. 3. Except as provided in section 9 of this chapter, the list of managed care providers furnished the recipient must include the names of all managed care providers who meet the following requirements: (1) Have entered into a provider agreement with the office under IC 12-15-…

Sec. 4. Except as provided in section 9 of this chapter, if a recipient fails to select a managed care provider within a reasonable time after the list is furnished the recipient, the office may assign a managed care provider to the recipient. [Pre-1992 Revision Citation: 12-1-7-…

Sec. 4.5. A managed care provider's contract or provider agreement with the office may include a prescription drug program, subject to IC 12-15-5-5, IC 12-15-35, and IC 12-15-35.5. As added by P.L.101-2005, SEC.2.

Sec. 5. Except as provided in sections 6 and 7 of this chapter, a Medicaid recipient may not receive physician services from a provider other than the managed care provider selected by the recipient under section 2 of this chapter, except as follows: (1) In an emergency. (2) Upon…

Sec. 6. (a) A Medicaid recipient may be admitted to a hospital by a physician other than the recipient's managed care provider if the recipient requires immediate medical treatment. (b) The admitting physician shall notify the recipient's managed care provider of the recipient's …

Sec. 7. A Medicaid recipient may obtain eye care services, except for surgical services, from any provider licensed under IC 25-22.5 or IC 25-24 who has entered into a provider agreement under IC 12-15-11. [Pre-1992 Revision Citation: 12-1-7-16.1(f).] As added by P.L.2-1992, SEC.…

Sec. 8. A Medicaid recipient may obtain foot care services from any provider licensed under IC 25-22.5 or IC 25-29 who has entered into a provider agreement under IC 12-15-11. [Pre-1992 Revision Citation: 12-1-7-16.1(g).] As added by P.L.2-1992, SEC.9.

Sec. 9. A Medicaid recipient may obtain psychiatric services from any provider licensed under IC 25-22.5 who has entered into a provider agreement under IC 12-15-11. [Pre-1992 Revision Citation: 12-1-7-16.1(h).] As added by P.L.2-1992, SEC.9.

Sec. 9.5. (a) If a managed care organization: (1) contracts with the office to provide home modification services under a risk based managed care program; and (2) receives a request for a home modification from a patient care coordinator; the managed care organization shall submi…

Sec. 0.3. (a) The school age child care project fund established by IC 20-5-61 (before its repeal) is a continuation of the school age child care project fund established by P.L.197-1985. (b) Rules adopted by the interdepartmental board for the coordination of human service progr…

Sec. 1. As used in this chapter, "applicant" means either: (1) a school corporation; or (2) a nonprofit organization that: (A) is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code; and (B) has provided extracurricular activities or services …

Sec. 10. Money in the fund at the end of a state fiscal year does not revert to the state general fund. [Pre-1992 Revision Citation: 12-3-29-8(d).] As added by P.L.2-1992, SEC.11.

Sec. 11. The division may approve a grant from the fund to an applicant if the applicant demonstrates to the division that the applicant is able to do the following: (1) Provide a physical environment that is safe and appropriate to the various age levels of the children to be se…

Sec. 12. The division may not approve a grant from the fund to an applicant unless the applicant agrees to adopt the following program enrollment priorities: (1) First priority must be given to children who are referred to a program by the department of child services under IC 31…

Sec. 13. The division may not approve a grant from the fund to an applicant unless the applicant agrees to adopt fee schedules based upon a sliding income scale set by the division under section 17 of this chapter. [Pre-1992 Revision Citation: 12-3-29-10(b).] As added by P.L.2-19…

Sec. 14. The division may not approve a grant from the fund to an applicant that is planning to use a facility not located in a school, unless the applicant's facility meets the following: (1) Standards for sanitation that are adopted by the director of the division. (2) Standard…

Sec. 15. An applicant who desires to apply for a grant from the fund must apply to the division in the manner prescribed by the division under section 17 of this chapter. [Pre-1992 Revision Citation: 12-3-29-11.] As added by P.L.2-1992, SEC.11.

Sec. 16. The division may make grants from the fund to approved applicants for the establishment and maintenance of a school age child care program. The amount of each grant awarded by the division must be an amount that is not more than nine (9) times the monetary value of the a…

Sec. 17. The director of the division shall adopt rules under IC 4-22-2 necessary to carry out this chapter, including rules specifying the following: (1) Standards for the hiring of staff for a school age child care program. (2) Cost and expense standards for the following: (A) …

Sec. 18. The division shall annually report to the governor and the general assembly the following information: (1) The number of applicants for grants from the fund. (2) The number of grants awarded by the division. (3) Amounts left in the fund on June 30 of each year. (4) Other…

Sec. 19. The state fire marshal shall adopt rules under IC 4-22-2 to govern fire safety in school age child care programs. [Pre-1992 Revision Citation: 12-3-29-14(a).] As added by P.L.2-1992, SEC.11.

Sec. 2. As used in this chapter, "contribution" includes providing a facility, personnel, transportation, or supplies that will be used in operating a program. [Pre-1992 Revision Citation: 12-3-29-3.] As added by P.L.2-1992, SEC.11.

Sec. 20. The director of the division shall adopt rules under IC 4-22-2 to govern sanitation in school age child care programs. [Pre-1992 Revision Citation: 12-3-29-14(b).] As added by P.L.2-1992, SEC.11.