Title 12, HUMAN SERVICES

Sec. 10. The office may not require the following: (1) A provider that is licensed, certified, registered, or authorized with the appropriate state agency or board and exclusively offers telehealth services (as defined in IC 12-15-5-11(a)) to maintain a physical address or site i…

Sec. 11. A provider of services under a home and community based services waiver (as defined in IC 12-8-1.6-2) shall do the following: (1) Upon request by an individual receiving services under the waiver or the individual's legal guardian, but not more than once per calendar qua…

Sec. 2. A provider desiring to participate in the Medicaid program by providing to individuals eligible for Medicaid services shall file a provider agreement with the office on forms provided by the office. [Pre-1992 Revision Citation: 12-1-7-15.1(b) part.] As added by P.L.2-1992…

Sec. 2.5. (a) As used in this section, "transportation provider" means a person: (1) that is a common carrier, including a person that provides transportation by a taxi; and (2) that: (A) is enrolled; or (B) applies for enrollment; in the Medicaid program as a Medicaid provider t…

Sec. 3. A provider agreement must do the following: (1) Include information that the office determines necessary to facilitate carrying out of IC 12-15. (2) Prohibit the provider from requiring payment from a recipient of Medicaid, except where a copayment is required by law. (3)…

Sec. 4. (a) A provider desiring to participate in the Medicaid program by providing physician services as a managed care provider must enter into a provider agreement with the office or the contractor under IC 12-15-30 to provide Medicaid services. (b) Before the office may appro…

Sec. 5. A provider who participates in the Medicaid program must comply with the enrollment requirements that are established under rules adopted under IC 4-22-2 by the secretary. [Pre-1992 Revision Citation: 12-1-7-15.1(d).] As added by P.L.2-1992, SEC.9. Amended by P.L.195-2018…

Sec. 6. (a) After a provider signs a provider agreement under this chapter, the office may not exclude the provider from participating in the Medicaid program by entering into an exclusive contract with another provider or group of providers, except as provided under section 7 of…

Sec. 7. The office may seek competitive bids for the following items or services provided under Medicaid: (1) Prescribed drugs and services for state operated institutions. (2) Physical therapy and other therapeutic services. (3) Prescribed laboratory and x-ray services. (4) Eyeg…

Sec. 8. (a) A community mental health center may use the center's provider identification number to file any Medicaid claim, including primary care health services, if the community mental health center: (1) is otherwise treating the individual for a mental health condition or an…

Sec. 9. (a) As used in this section, "clean credentialing application" means an application for network participation that: (1) is submitted by a provider under this section; (2) does not contain an error; and (3) may be processed by the managed care organization or contractor of…

Sec. 1. (a) The township trustee shall obligate any adult member of a recipient household to do any work needed to be done within the county or an adjoining township in any other county for any nonprofit agency or governmental unit, including the state, having jurisdiction in tho…

Sec. 2. (a) The township trustee may require the recipient to perform work for nonprofit human services agencies located within the county or an adjoining township in another county unless the recipient attends courses under section 3 of this chapter. (b) The township trustee sha…

Sec. 3. (a) If a township assistance recipient, after referral by the township trustee, is accepted and attends: (1) adult education courses under IC 20-30-6-1 (before its repeal) or IC 22-4.1-18; or (2) courses at Ivy Tech Community College; the township assistance recipient is …

Sec. 4. (a) The township trustee may require a township assistance applicant or an adult member of the applicant's household to satisfy all obligations to perform work incurred in another township before additional township assistance is granted. However, in case of an emergency,…

Sec. 5. (a) Work performed under this chapter is considered as satisfaction of a condition for township assistance and is not considered as services performed for remuneration or as repayment for township assistance. However, a township assistance recipient performing work under …

Sec. 2. (a) This section applies to an individual who has a primary diagnosis of developmental disability. (b) Action contemplated by a patient under this section includes action by the patient's parent or guardian if the patient is not competent. (c) If a patient is admitted to …

Sec. 3. Immediately upon receiving a patient's medical records or a patient's name and address under section 2 of this chapter, IC 12-24-12, or IC 12-26-11, the community mental health center or the local agency serving the needs of individuals with a developmental disability sha…

Sec. 4. (a) A person is exempt from complying with this chapter only to the extent that compliance with this chapter will result in a loss of federal money or services. (b) A person shall comply with this chapter and perform additional acts required to receive federal money or se…

Sec. 1. The superintendent of a facility to which an individual was committed under IC 12-26-6 or IC 12-26-7 or to which the individual's commitment was transferred under this chapter, may transfer the commitment of the individual to: (1) a state institution; (2) a community ment…

Sec. 2. The superintendent of a facility to which the commitment of an individual is to be transferred may decline to admit the individual if the superintendent determines that adequate space, treatment staff, or treatment facilities appropriate to the needs of the individual are…

Sec. 3. If an individual is transferred under section 1 of this chapter, the transferring facility shall provide a copy of the individual's current medical and treatment records to the facility to which the commitment of the individual is transferred. [Pre-1992 Revision Citation:…

Sec. 3.5. If an individual is transferred under section 1 of this chapter from a state institution administered by the division of mental health and addiction, the gatekeeper for the individual shall facilitate and plan, together with the individual and state institution, the ind…

Sec. 4. If the commitment of an individual is transferred to another facility under section 1 of this chapter, the transferring facility shall give written notice to each of the following: (1) The individual's legal guardian. (2) The individual's parents. (3) The individual's spo…

Sec. 5. (a) As used in this section, "substantially more restrictive environment" means another facility or that part of a facility that is designated as the place providing maximum security for patients. (b) If the transfer of the commitment of an individual is to a substantiall…

Sec. 6. An individual whose commitment is transferred under section 1 of this chapter may, within thirty (30) days after the transfer, petition the committing court for an order setting aside the transfer and ordering the individual and the individual's medical and treatment reco…

Sec. 1. The purpose of this chapter is to find available employment opportunities for TANF recipients and applicants that will allow the recipients and applicants to gain successful experience in an environment that includes daily work. As added by P.L.2-1997, SEC.34. Amended by …

Sec. 2. This chapter applies to all TANF recipients and applicants, except recipients and applicants exempted under rules adopted by the secretary under IC 4-22-2. As added by P.L.2-1997, SEC.34. Amended by P.L.161-2007, SEC.8; P.L.39-2015, SEC.5.

Sec. 3. As used in this chapter, "request for proposals" means all documents, whether attached or incorporated by reference, used for soliciting proposals. As added by P.L.2-1997, SEC.34.

Sec. 4. The director may develop programs in partnership with private employers by issuing requests for proposals to stimulate public-private partnerships to provide employment opportunities to TANF recipients. As added by P.L.2-1997, SEC.34. Amended by P.L.161-2007, SEC.9.

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…