Title 12, HUMAN SERVICES

Sec. 1. This chapter applies to a health facility licensed under IC 16-28 that has been approved by the office to have more than eight (8) beds but less than forty (40) beds approved for special skilled services. As added by P.L.76-1992, SEC.3. Amended by P.L.2-1993, SEC.103.

Sec. 2. As used in this chapter, "chronically medically dependent" means a medical condition of a person who is infected by the human immunodeficiency virus (HIV) and has been certified by a physician as, because of the HIV infection, requiring a skilled or intermediate level of …

Sec. 3. As used in this chapter, "special skilled services" refers to medical and health services that are provided to a patient who is: (1) chronically medically dependent; and (2) in need of a level of care that is less intensive than the care provided in a hospital licensed un…

Sec. 4. The office shall, under 42 U.S.C. 1396 et seq., establish a payment rate to a health facility for special skilled services. As added by P.L.76-1992, SEC.3.

Sec. 5. Payment for special skilled services provided in a health facility must meet the following conditions: (1) Be determined in accordance with a prospective payment rate that is reasonable and adequate to meet the costs that must be incurred by efficiently and economically o…

Sec. 6. The office shall adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.76-1992, SEC.3.

Sec. 7. The office of Medicaid policy and planning may not approve more than one hundred (100) beds for special skilled services under this chapter without the agreement of the commissioner of the Indiana department of health and the administrator of the office of Medicaid policy…

Sec. 1. The Indiana department of health, with guidance and input from the office, shall review Medicaid recipient populations to determine which populations might benefit from transfer to an insurance product. Populations to review include participants in: (1) the IMPACT program…

Sec. 2. After completing the review under section 1 of this chapter, the office, under the guidance of the Indiana department of health, may seek waivers from the United States Department of Health and Human Services to establish one (1) or more of the following demonstration pro…

Sec. 3. The Indiana department of health and the office may not implement any of the demonstration projects under section 2 of this chapter until the office, under the guidance of the Indiana department of health, files an affidavit with the governor that attests that the federal…

Sec. 4. If a waiver is received from the United States Department of Health and Human Services and the governor receives the affidavit filed under section 3 of this chapter, the Indiana department of health, with guidance and input from the office, shall implement the demonstrati…

Sec. 5. The Indiana department of health, with guidance and input from the office, shall adopt rules under IC 4-22-2 to implement a demonstration project for which a waiver is granted under this chapter. As added by P.L.93-1995, SEC.4. Amended by P.L.56-2023, SEC.106.

Sec. 6. If the Indiana department of health and the office seek a waiver under this chapter to establish a managed care program or other demonstration project, the Indiana department of health and the office shall not seek a waiver of: (1) federally qualified health centers and r…

Sec. 7. The office and the Indiana department of health may collaborate with the American Heart Association to reduce the cost of stroke treatment and improve the outcome of stroke patients in the state. The collaboration may include the following: (1) The development and impleme…

Sec. 1. (a) The Indiana department of health, with guidance and input from the office, shall examine and study the availability of funds that require a waiver and funds that do not require a waiver from the United States Secretary of Health and Human Services that may be: (1) use…

Sec. 2. If the Indiana department of health, with guidance and input from the office, identifies funds under section 1 of this chapter, the Indiana department of health may develop a health care plan and delivery system that uses the funds under the Medicaid program to provide he…

Sec. 3. If the Indiana department of health and the office develop a plan that requires a waiver from federal Medicaid law, the office may apply for the necessary waiver from the appropriate authority to implement the program under section 2 of this chapter. As added by P.L.93-19…

Sec. 4. Before July 1, 1996, the Indiana department of health and the office shall submit a report to the general assembly summarizing the study conducted under section 1 of this chapter and any health care plans developed under section 2 of this chapter. As added by P.L.93-1995,…

Sec. 5. The Indiana department of health and the office shall enter into an interagency agreement to allow the Indiana department of health to carry out the department's responsibilities under this chapter in accordance with federal requirements. As added by P.L.93-1995, SEC.5. A…

Sec. 5. (a) The early learning advisory committee is established to do the following: (1) Establish child developmental and educational goals for Indiana's early learning system, including the development of standards and objectives for early education programs that receive state…

Sec. 8. On or before July 1, 2027, and July 1 biennially thereafter, the committee shall submit a report to the executive director of the legislative services agency, in an electronic format under IC 5-14-6, for review by the interim committee on government in accordance with IC …

Sec. 1. As used in this section, "conversion" means: (1) the permanent closure of a Medicaid funded intermediate care facility for individuals with intellectual disabilities bed, including intermediate care facilities for individuals with intellectual disabilities licensed under …

Sec. 2. The division shall do the following: (1) Assist providers who provide for the voluntary conversion of Medicaid funded intermediate care facility for individuals with intellectual disabilities beds. (2) Assist in securing appropriate placements for individuals who reside i…

Sec. 3. Any savings that may result from a conversion under this chapter of an intermediate care facility for individuals with intellectual disabilities licensed under IC 16-28-2 or a state institution must be used to expand waiver services under an intermediate care facility for…

Sec. 1. This chapter applies to a hospice program that has been approved by the office to provide hospice services to hospice program patients. As added by P.L.24-1997, SEC.54.

Sec. 2. (a) As used in this chapter, "hospice" means a person or health care provider who owns or operates a hospice program or facility, or both, that uses an interdisciplinary team directed by a licensed physician to provide a program of planned and continuous care for hospice …

Sec. 3. (a) As used in this chapter, "hospice program" means a specialized form of interdisciplinary health care that is designed to alleviate the physical, emotional, social, and spiritual discomforts of an individual who is experiencing the last phase of a terminal illness or d…

Sec. 4. As used in this chapter, "hospice program patient" means a terminally ill patient who: (1) has been diagnosed by a licensed physician as having a terminal illness; (2) is expected to die from the terminal illness within six (6) months; and (3) receives hospice services fr…

Sec. 5. As used in this chapter, "hospice services" means: (1) palliative care for the physical, psychological, social, spiritual, and other special needs of a hospice program patient during the final stages of a hospice program patient's terminal illness; and (2) care for the ps…

Sec. 6. The office shall, under 42 U.S.C. 1396 et seq., establish a payment rate to a hospice program for hospice services provided to hospice program patients who are eligible for medical assistance under this article. As added by P.L.24-1997, SEC.54.

Sec. 7. Payment to a hospice program must meet the following conditions: (1) Be determined in accordance with a prospective payment rate that is reasonable and adequate to meet the costs that must be incurred by efficiently and economically operated hospice programs to provide se…

Sec. 8. The office shall adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.24-1997, SEC.54.

Sec. 1. As used in this chapter, "buy-in program" refers to the Medicaid buy-in program for working individuals with disabilities established by section 3 of this chapter. As added by P.L.287-2001, SEC.9.

Sec. 10. To the greatest extent possible, the office shall use the same administrative procedures regarding premiums for the buy-in program as are used for the children's health insurance program established under IC 12-17.6, including: (1) the effect of nonpayment of a premium; …

Sec. 11. (a) The office shall establish criteria to base the annual redetermination of disability required under 405 IAC 2-2-3(b) for an individual participating in the buy-in program on the individual's medical evidence, including evidence of physical or mental impairment. (b) I…

Sec. 12. Except as otherwise provided in this chapter, an individual participating in the buy-in program: (1) shall receive the same benefits, including home health care services; and (2) is subject to the same requirements, including cost sharing; as an individual receiving Medi…

Sec. 13. (a) The office shall establish criteria to determine the effectiveness of: (1) the buy-in program; and (2) continued Medicaid coverage through Section 1619 of the federal Social Security Act (42 U.S.C. 1382h). (b) The criteria required under subsection (a) must include t…

Sec. 14. Funding for the buy-in program shall be from funds appropriated by the general assembly, premiums paid, and any federal matching funds available to the program. As added by P.L.287-2001, SEC.9.

Sec. 15. The office shall adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.287-2001, SEC.9. Amended by P.L.197-2011, SEC.44; P.L.93-2024, SEC.110.

Sec. 2. As used in this chapter, "countable resources" means all cash, other liquid assets, real property, and personal property owned by an applicant for or a recipient of Medicaid under this chapter, or the spouse of an applicant or a recipient, that could be converted to cash …

Sec. 3. The Medicaid buy-in program for working individuals with disabilities is established to provide, beginning July 1, 2002, Medicaid to individuals who are disabled and employed, as authorized under Section 201 of the federal Ticket to Work and Work Incentives Improvement Ac…

Sec. 4. To participate in the buy-in program beginning July 1, 2002, an individual must meet the eligibility requirements under IC 12-15-2-6, except as follows: (1) The individual has a severe medically determinable impairment without regard to the individual's employment status.…

Sec. 5. An individual who is enrolled in the buy-in program and who no longer meets the eligibility requirements set forth in section 4 of this chapter due to an improvement in the individual's medical condition continues to be eligible for Medicaid coverage under the buy-in prog…

Sec. 6. (a) An individual who is enrolled in the buy-in program and who is unable to maintain employment for involuntary reasons, including temporary leave due to a health problem or involuntary termination, continues to be eligible for Medicaid coverage under the buy-in program …

Sec. 7. (a) The office shall develop a sliding scale of premiums for individuals participating in the buy-in program. (b) The sliding scale of premiums required under subsection (a) must: (1) be based on the annual gross income of the individual and, if married, the individual's …

Sec. 8. (a) An individual whose gross annual income, including the gross annual income of the individual's spouse, if married, is less than one hundred fifty percent (150%) of the federal income poverty level for the size of the individual's or couple's family may not be required…