Title 12, HUMAN SERVICES

Sec. 40. Prospective DUR must be based on the guidelines established by the board and must provide that prior to the prescription being filled or delivered a review will be conducted by the pharmacist at the point of sale to screen for potential drug therapy problems resulting fr…

Sec. 41. The activities of the board in carrying out this chapter are covered under IC 34-30-15. As added by P.L.75-1992, SEC.19. Amended by P.L.1-1998, SEC.103.

Sec. 42. (a) The board may meet in an executive session for purposes of reviewing DUR data or to conduct or to discuss activity as provided for in IC 5-14-1.5-6.1. (b) The board shall also conduct regular public meetings to gather input from the public on the operation of the DUR…

Sec. 43. Confidential data or information obtained by pharmacists as part of prospective DUR are confidential but may be released to prescribers or others according to procedures established by the board. As added by P.L.75-1992, SEC.19.

Sec. 43.5. (a) The board, the therapeutics committee, or the office may not release proprietary or confidential information obtained as part of the development, implementation, or maintenance of a preferred drug list under this chapter. (b) Information described in subsection (a)…

Sec. 44. A person who does not comply with the confidentiality provisions under section 34 of this chapter commits a Class A misdemeanor. As added by P.L.75-1992, SEC.19. Amended by P.L.1-1993, SEC.133.

Sec. 45. (a) The chairman of the board, subject to the approval of the board members, may appoint an advisory committee to make recommendations to the board on the development of a Medicaid outpatient drug formulary. (b) If the office decides to establish a Medicaid outpatient dr…

Sec. 46. (a) This section applies to a managed care organization that enters into an initial contract with the office to be a managed care organization after May 13, 1999. (b) Before a managed care organization described in subsection (a) implements a formulary, the managed care …

Sec. 47. (a) This section applies to the following changes to a formulary used by a managed care organization for Medicaid recipients: (1) Removing one (1) or more drugs from the formulary. (2) Placing new restrictions on one (1) or more drugs on the formulary. (b) Before a manag…

Sec. 48. (a) The board shall review the prescription drug program of a managed care organization that participates in a risk based managed care program at least one (1) time per year. The board's review of a prescription drug program must include the following: (1) An analysis of…

Sec. 49. (a) The office shall provide the board with information necessary for the board to carry out its duties under this chapter. (b) The office shall provide the information required under subsection (a): (1) when requested by the board; and (2) in a timely manner. As added b…

Sec. 5. As used in this chapter, "criteria" means the predetermined and explicitly accepted elements that are used to measure drug use on an ongoing basis to determine if the use is appropriate, medically necessary, and not likely to result in adverse medical outcomes. As added b…

Sec. 50. (a) IC 12-15-13-6 does not apply to this section. (b) The office shall maintain a website and post on the website any changes concerning the office's maximum allowable cost schedule for drugs. (c) A change in the office's maximum allowable cost schedule for drugs may not…

Sec. 51. (a) As used in this section, "advisory committee" refers to the mental health Medicaid quality advisory committee established by subsection (b). (b) The mental health Medicaid quality advisory committee is established. The advisory committee consists of the following mem…

Sec. 6. As used in this chapter, "drug-disease contraindication" means an occurrence in which the therapeutic effect of a drug is adversely altered by the presence of another disease condition. As added by P.L.75-1992, SEC.19.

Sec. 7. As used in this chapter, "drug-drug interaction" means an occurrence in which at least two (2) drugs taken by a recipient leads to clinically significant toxicity that: (1) is characteristic of one (1) or any of the drugs present; or (2) leads to the interference with the…

Sec. 8. As used in this chapter, "drug utilization review" or "DUR" means the program designed to measure and assess on a retrospective and a prospective basis the proper use of outpatient drugs in the Medicaid program. As added by P.L.75-1992, SEC.19.

Sec. 9. As used in this chapter, "intervention" means an action taken by the board with a prescriber or pharmacist to inform about or to influence prescribing or dispensing practices or utilization of drugs. As added by P.L.75-1992, SEC.19.

Sec. 1. (a) An Indiana resident who meets the income and resource standards established by the division under section 3 of this chapter is eligible for assistance to satisfy the resident's financial obligation for care provided to the resident in a hospital in Indiana that was ne…

Sec. 2. (a) An individual who is not an Indiana resident is eligible for assistance to satisfy the individual's financial obligation for the care provided to the individual in a hospital in Indiana that was necessitated after the onset of a medical condition that was manifested b…

Sec. 3. (a) The division shall adopt rules under IC 4-22-2 to establish income and resource eligibility standards for patients whose care is to be paid under the hospital care for the indigent program. (b) To the extent possible and subject to this article, rules adopted under th…

Sec. 4. A provider may provide a patient, and if the patient is not able to understand the statement, the patient's representative, with a statement of the eligibility and benefit standards adopted by the division if at least one (1) of the following occurs: (1) The provider has …

Sec. 0.1. The amendments made to section 10 of this chapter by P.L.131-2002 apply to a provider that begins receiving voucher payments after June 30, 2002. As added by P.L.220-2011, SEC.268.

Sec. 1. (a) This chapter applies to all child care providers regardless of whether a provider is required to be licensed or registered under this article. However, except as provided in section 4(b) of this chapter, a child care provider that is licensed under IC 12-17.2-4 or IC …

Sec. 1.2. As used in this chapter, "child care program" refers to the activities provided for children during the time that children are in the care of a provider. As added by P.L.18-2003, SEC.9.

Sec. 1.3. As used in this chapter, "employed", "employee", "employment", or "employs" refers to services performed by an individual for compensation. The terms do not refer to services performed by an individual who volunteers, including an individual who provides assistance and …

Note: This version of section effective until 7-1-2027. See also following version of this section, effective 7-1-2027. Sec. 10. (a) A facility where a provider operates a child care program must have two (2) exits that: (1) do not require passage through a: (A) garage; or (B) st…

Sec. 11. (a) A provider shall provide for a safe environment by ensuring that no conditions exist in or on the grounds of the facility where the provider operates a child care program that would endanger the health, safety, or welfare of the children, including ensuring that the …

Sec. 11.1. (a) After December 31, 2002, a provider shall maintain and annually update documentation provided by the physician of each child who is cared for in a facility where the provider operates a child care program that the child has received complete age appropriate immuniz…

Sec. 12. (a) Except as provided in subsection (f) and subject to subsection (g), a provider shall, at no expense to the state, do the following: (1) If the provider is an individual, submit the provider's fingerprints for a national criminal history background check by the Federa…

Sec. 12.1. (a) A provider shall, at no expense to the state, maintain and make available to the division upon request a copy of drug testing results for: (1) the provider, if the provider is an individual; (2) if the provider operates a child care program in the provider's home, …

Sec. 12.5. (a) A provider that cares for children who are less than twelve (12) months of age shall: (1) complete the training course provided or approved by the division under IC 12-17.2-2-1(10) concerning safe sleeping practices; and (2) ensure that all caregivers of children w…

Sec. 13. A local step ahead council may not require a child care ministry to meet any minimum standards in addition to the standards described in this chapter unless the additional standards are approved by the: (1) general assembly; or (2) division. As added by P.L.247-2001, SEC…

Sec. 14. (a) Notice of a determination made under this chapter must be provided under IC 4-21.5-3-6. (b) A person affected by a determination made under this chapter may seek administrative review under IC 4-21.5-3-7. As added by P.L.109-2002, SEC.6.

meet standards of quality Sec. 14.5. Not later than July 1, 2017, the division shall develop a provider rate reimbursement schedule that uses money appropriated by the general assembly as an incentive for providers that are eligible to receive voucher payments under this chapter …

Sec. 15. The division shall adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.18-2003, SEC.24.

Sec. 16. (a) The division may, according to rules adopted under IC 4-22-2, decertify a provider for any of the following reasons: (1) The provider fails to comply with this chapter. (2) The provider refuses to allow, during normal business hours, the division or an agent of the d…

Sec. 17. (a) A provider is ineligible to receive a voucher payment under this chapter if any of the following conditions exist, posing an imminent threat to the life or well-being of a child in the care of the provider at a facility where the provider operates a child care progra…

Sec. 18. (a) Upon receiving notice of a claim of abuse or neglect in a facility where a provider operates a child care program, the department of child services shall: (1) forward a copy of the notice to the division; and (2) conduct an investigation of the claim. (b) After an in…

Sec. 19. (a) A provider shall immediately notify the parent or legal guardian of a child in the care of the provider concerning any of the following that occur during the hours that the child is in the care of the provider: (1) A: (A) bodily injury (as defined in IC 35-31.5-2-29)…

Sec. 3. As used in this chapter, "voucher payment" means payment for child care through the federal Child Care and Development Fund voucher program administered under 45 CFR 98 and 45 CFR 99. As added by P.L.247-2001, SEC.3.

Sec. 3.5. A child care provider is eligible to receive a voucher payment if the provider complies with this chapter and meets any of the following: (1) Does not receive regular compensation. (2) Cares only for children who are related to the provider. (3) Cares for less than eigh…

Sec. 4. (a) A provider is ineligible to receive a voucher payment if the provider: (1) has been convicted of a: (A) felony: (i) related to the health or safety of a child; (ii) that is a sex offense (as defined in IC 11-8-8-5.2); (iii) that is a dangerous felony; or (iv) that is …

Sec. 4.1. (a) This section applies to the following: (1) A provider, if the provider is an individual. (2) If a provider operates a child care program in the provider's home, an individual who resides with the provider and who is at least eighteen (18) years of age. (3) An indivi…

Sec. 5. (a) A provider shall have: (1) working smoke detectors that meet the standards adopted by rule for smoke detectors in licensed child care homes; and (2) hot and cold running water; in the area of the facility where the provider operates a child care program. (b) A provide…

Sec. 5.5. (a) A provider shall ensure that a child in the provider's care is continually supervised by a caregiver. (b) After June 30, 2015, a provider that cares for: (1) not more than sixteen (16) children at a facility where the provider operates a child care program shall mai…