Title 12, TITLE 12. HUMAN SERVICES

Sec. 4. A certificate must bear the seal of the division. [Pre-1992 Revision Citation: 12-1-5-8(a) part.] As added by P.L.2-1992, SEC.8.

Sec. 5. The copies of the certificate shall be distributed as follows: (1) One (1) copy retained by and filed in the division. (2) One (1) copy filed with the state auditor. (3) One (1) copy filed in the office of the county recorder. (4) One (1) copy given to the recipient. [Pre…

Sec. 0.1. The amendments made to this chapter apply as follows: (1) The amendments made to section 1 of this chapter by P.L.257-1996 apply to provider claims for payment under the Medicaid program under this article after March 31, 1996. (2) The addition of section 1.5 of this ch…

Sec. 0.4. As used in this chapter, "office" includes the following: (1) The office of the secretary of family and social services. (2) A managed care organization that has contracted with the office of Medicaid policy and planning under this article. (3) A person that has contrac…

Sec. 0.5. (a) Except as provided in section 0.6 of this chapter, as used in this chapter, "clean claim" means a claim submitted by a provider for payment under the Medicaid program that can be processed without obtaining additional information from: (1) the provider of the servic…

Sec. 0.6. (a) "Clean claim", as the term applies to payments to nursing facilities under IC 12-15-14, means a claim submitted by a provider for payment that meets the following conditions: (1) Contains the following locators: (A) Type of bill. (B) Coverage dates. (C) Bill status.…

Sec. 0.7. The office may adopt rules under IC 4-22-2 that add, delete, or modify the locators contained in section 0.6(a)(1) of this chapter as necessary to conform with: (1) changes in federal law or regulation; or (2) directives from the United States Centers for Medicare and M…

facilities; time; notice of suspension or denial Sec. 1. (a) This section applies only to claims submitted for payment by nursing facilities. (b) The office shall pay, deny, or suspend each claim submitted by a provider for payment under the Medicaid program not more than: (1) tw…

Sec. 1.5. (a) This section applies only to claims submitted for payment by nursing facilities. (b) If the office: (1) fails to pay a clean claim in the time required under section 1(b) of this chapter; or (2) denies or suspends a claim that is subsequently determined to have been…

or denial Sec. 1.6. (a) This section does not apply to claims submitted for payment by nursing facilities. (b) The office shall pay or deny each clean claim in accordance with section 1.7 of this chapter. (c) The office shall deny or suspend each claim that is not a clean claim i…

Sec. 1.7. (a) This section does not apply to claims submitted for payment by nursing facilities. (b) The office shall pay or deny each clean claim as follows: (1) If the claim is filed electronically, within twenty-one (21) days after the date the claim is received by: (A) the of…

regulations specifying reimbursement criteria Sec. 2. (a) Except as provided in IC 12-15-14 and IC 12-15-15, payments to Medicaid providers must be: (1) consistent with efficiency, economy, and quality of care; and (2) sufficient to enlist enough providers so that care and servic…

As added by P.L.152-1995, SEC.10. Amended by P.L.107-1996, SEC.9; P.L.257-1996, SEC.9; P.L.78-2004, SEC.3; P.L.8-2005, SEC.1. Repealed by P.L.229-2011, SEC.270.

Sec. 3.5. (a) As used in this section, "noninstitutional provider" means any Medicaid provider other than the following: (1) A health facility licensed under IC 16-28. (2) An ICF/IID (as defined in IC 16-29-4-2). (b) If the office of the secretary or the office of the secretary's…

Sec. 4. (a) As used in this section, "institutional provider" means the following: (1) A health facility that is licensed under IC 16-28. (2) An ICF/IID (as defined in IC 16-29-4-2). (b) If the office of the secretary or the office of the secretary's designee believes that an ove…

As added by P.L.213-2015, SEC.128. Repealed by P.L.12-2016, SEC.9.

Sec. 6. (a) Except as provided by IC 12-15-35-50, a notice or bulletin that is issued by: (1) the office; (2) a contractor of the office; or (3) a managed care organization; concerning a change to the Medicaid program, including a change to prior authorization, claims processing,…

Sec. 7. (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 or its subsequent form. (2…

Sec. 7.2. (a) As used in this section, "provider" has the meaning set forth in IC 27-8-11-1. (b) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection: (1) the office shall for all purposes begin using the most curr…

As added by P.L.209-2018, SEC.9. Expired 7-1-2019 by P.L.209-2018, SEC.9.

centers and rural health clinics Sec. 9. (a) Subject to subsection (b), the office shall reimburse the following providers if the providers are providing Medicaid covered services at a federally-qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)) or a rural health cl…

Sec. 1. As used in this chapter, "applicant" means an organization that applies to the division for a grant for either of the following purposes: (1) To establish and operate a preschool child care program. (2) To maintain an existing preschool child care program. [Pre-1992 Revis…

Sec. 2. As used in this chapter, "facility" means a school or other building in which a preschool child care program is operated. [Pre-1992 Revision Citation: 4-28-6.2-2.] As added by P.L.2-1992, SEC.11.

Sec. 3. As used in this chapter, "preschool child care program" means a program operated by an organization that offers care to children who are: (1) less than six (6) years of age; and (2) not eligible to enroll in a public school. [Pre-1992 Revision Citation: 4-28-6.2-3.] As ad…

Sec. 4. The division may apply for federal and state money to assist applicants under this chapter. [Pre-1992 Revision Citation: 4-28-6.2-4.] As added by P.L.2-1992, SEC.11.

Sec. 5. The division may approve a grant to an applicant if the applicant demonstrates to the division that the applicant can do the following: (1) Provide a physical environment that is safe and appropriate to the various age levels of the children to be served. (2) Meet licensi…

schedules Sec. 6. The division may not approve a grant to an applicant unless the applicant agrees to do both of the following: (1) Serve children whose family income does not exceed one hundred fifty percent (150%) of the official poverty income guidelines established by the Off…

Sec. 7. An applicant that desires to apply for a grant must apply to the division as prescribed by this chapter. [Pre-1992 Revision Citation: 4-28-6.2-7.] As added by P.L.2-1992, SEC.11.

Sec. 8. An applicant that receives a grant in a fiscal year and desires to receive a grant in the following fiscal year must reapply as prescribed by this chapter. [Pre-1992 Revision Citation: 4-28-6.2-8.] As added by P.L.2-1992, SEC.11.

Sec. 9. The director of the division may adopt rules under IC 4-22-2 to carry out this chapter, including rules specifying the following: (1) Standards for the hiring of staff for a preschool child care program. (2) Cost and expense standards for the establishment and operation o…

assistance recipients Sec. 1. A township trustee may, with the approval of the township board, do the following: (1) Conduct the following for township assistance recipients in the township: (A) Rehabilitation programs. (B) Training programs. (C) Retraining programs. (D) Work pro…

[Pre-1992 Revision Citation: 12-2-10-1(b), (c).] As added by P.L.2-1992, SEC.14. Repealed by P.L.51-1996, SEC.77.

Sec. 3. (a) An expenditure of money may not be made under this chapter except after a specific appropriation made and approved in the manner provided by law. (b) An appropriation may not be made or approved unless a sufficient amount of money to cover the proposed expenditure is …

place; lawful circumstances Sec. 1. It is lawful for an individual to be under the influence of a controlled substance in a public place if the individual can present positive proof of the following: (1) The individual is under the care of the division, a community mental health …

for treatment of drug abuse; conditions Sec. 2. It is lawful to prescribe, dispense, or administer controlled substances for the treatment of drug abuse if the following conditions are met: (1) The controlled substances are used for the treatment or maintenance of a drug abuser. …

Sec. 1. Each division shall develop and implement an accounting and bookkeeping system for each state institution so that the cost of all institutional services provided to a patient can be determined. [Pre-1992 Revision Citation: 16-14-5.5-3 part.] As added by P.L.2-1992, SEC.18…

payment period Sec. 10. The appropriate division shall issue to any party liable under this chapter for any type of psychiatric service statements of sums due as maintenance charges. The division shall require the liable party to pay monthly, quarterly, or otherwise as may be arr…

Sec. 11. The estate of a patient who receives care, treatment, maintenance, or any other service furnished by the division at the state's expense is liable for payment of the charges as determined under this chapter for the service. The estate is exempt from the requirements of s…

Sec. 2. A patient, patient's parents, patient's legal guardians, or patient's other responsible relatives may be charged only for services and treatment provided. [Pre-1992 Revision Citation: 16-14-5.5-3 part.] As added by P.L.2-1992, SEC.18.

[Pre-1992 Revision Citations: subsection (a) formerly 16-14-18.1-2(a); 16-14-18.1-3(c); subsection (b) formerly 16-14-18.1-2(b).] As added by P.L.2-1992, SEC.18. Repealed by P.L.187-2007, SEC.15.

liability for payment Sec. 4. (a) Each state institution shall establish a charge structure for institutional services and treatment. The charge structure must be approved by the director of the division before July 1 of each year and, once approved, the charge structure must be …

for the provision of special education Sec. 5. (a) Except as provided in section 6 of this chapter, whenever placement of a student with a disability (as defined in IC 20-35-1-8) in a state institution is necessary for the provision of special education for that student, the cost…

county office Sec. 6. The department of child services is responsible for the cost of treatment or maintenance of a child under the department's custody or supervision who is placed in a state institution only if the cost is reimbursable under the state Medicaid program under IC …

Sec. 7. If a patient in a state institution has insurance coverage that covers hospitalization or medical services in psychiatric hospitals, all benefits under the insurance coverage shall be assigned to the appropriate division. [Pre-1992 Revision Citation: 16-14-18.1-3(d).] As …

[Pre-1992 Revision Citation: 16-14-18.1-3(e).] As added by P.L.2-1992, SEC.18. Repealed by P.L.187-2007, SEC.15.

[Pre-1992 Revision Citation: 16-14-18.1-3(f).] As added by P.L.2-1992, SEC.18. Repealed by P.L.187-2007, SEC.15.

Sec. 1. The superintendent of a facility may grant a committed individual a leave of absence from confinement in the facility for a period designated by the superintendent if the superintendent or an attending physician determines that the leave of absence is in the best interest…

court Sec. 2. Upon the discharge of an individual committed under this article, the superintendent of the facility shall notify the committing court of the date of the discharge. The court shall make an entry on the record indicating the date of discharge. [Pre-1992 Revision Cita…