Title 12, TITLE 12. HUMAN SERVICES

Sec. 6. (a) The office shall publish the decision to require prior authorization for a single source drug in a provider bulletin. (b) IC 12-15-13-6 applies to a provider bulletin described in subsection (a). As added by P.L.6-2002, SEC.4.

certain mental health drugs Sec. 7. (a) Subject to subsections (b) and (c), the office may place limits on quantities dispensed or the frequency of refills for any covered drug as required by law or for the purpose of: (1) preventing fraud, abuse, or waste; (2) preventing overuti…

requirements Sec. 7.5. (a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows: (1) If the daily dosage is not more than sixty (60) milligrams. (2) If the daily dosage is more than sixty (60…

years of age Sec. 8. In addition to the limits described in section 7 of this chapter, the office may restrict a mental health drug described in section 3 of this chapter that is prescribed for an individual who is less than eighteen (18) years of age if federal financial partici…

treatment Sec. 9. The office may not reimburse under Medicaid for Subutex, Suboxone, or a similar trade name or generic of the drug if the drug is only indicated for addiction treatment and was prescribed for the treatment of pain or pain management. As added by P.L.37-2016, SEC.…

program Sec. 0.5. (a) Notwithstanding IC 12-15-39.8, the asset disregard under section 10 of this chapter applies to any qualified long term care policy to which this chapter applies. (b) This chapter does not apply to a qualified long term care policy issued after the long term …

Sec. 1. As used in this chapter, "long term care" means the provision of the following services in a setting other than an acute care wing of a hospital to enable individuals whose functional capacities are chronically impaired to be maintained at their maximum level of health an…

Sec. 10. (a) As used in this section, "asset disregard" means one (1) of the following: (1) A one dollar ($1) increase in the amount of assets an individual who: (A) purchases a qualified long term care policy; and (B) meets the requirements under section 8 of this chapter; may r…

assets Sec. 11. A public program administered by the state that: (1) provides long term care services; and (2) bases eligibility upon the amount of the individual's assets; must apply the asset disregard under section 10 of this chapter in determining the amount of the individual…

Sec. 12. If the Indiana long term care program is discontinued, an individual who purchased a qualified long term care policy prior to the date the program is discontinued is eligible to receive an asset disregard as defined under section 10 of this chapter. As added by P.L.24-19…

Sec. 13. The office of Medicaid policy and planning may enter into reciprocal agreements with other states to extend the asset disregard under section 10 of this chapter to Indiana residents who had purchased qualified long term care policies in other states. As added by P.L.24-1…

Sec. 14. The secretary of family and social services may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.24-1997, SEC.53.

Sec. 15. An individual who: (1) owns, as of January 1, 1998, a qualified long term care policy; and (2) has not exhausted the benefits of the qualified long term care policy described in subdivision (1); is entitled to receive an asset disregard as provided in section 10 of this …

Sec. 2. As used in this chapter, "long term care facility" means a facility licensed under IC 16-28. As added by P.L.24-1997, SEC.53.

Sec. 3. (a) As used in this chapter, "long term care insurance" means insurance coverage for at least twelve (12) consecutive months for each covered person on an expense incurred, indemnity, or prepaid basis for one (1) or more necessary long term care services provided in a set…

Sec. 4. As used in this chapter, "health maintenance organization" has the meaning set forth in IC 27-13-1-19. As added by P.L.24-1997, SEC.53.

Sec. 5. As used in this chapter, "qualified long term care policy" means an insurance policy that: (1) provides long term care insurance; (2) meets: (A) the definition set forth in IC 27-8-12-5; and (B) the standards established under IC 27-8-12-7.1; and (3) is issued by an insur…

Sec. 6. (a) The Indiana long term care program is established to do the following: (1) Provide incentives for individuals to insure against the costs of providing for their long term care needs. (2) Provide a mechanism for individuals to qualify for coverage of the costs of their…

assistance Sec. 7. (a) The department of insurance or the agency with which the department of insurance has contracted under section 6(b) of this chapter shall make available to any individual interested in participating in a long term care program information concerning the foll…

Sec. 8. An individual who is either: (1) the beneficiary of a qualified long term care policy approved by the department of insurance; or (2) enrolled in a health maintenance organization that both provides long term care services and meets the requirements under sections 4 and 5…

Sec. 9. (a) An insurer or other person who issues a qualified long term care policy under this chapter must at a minimum offer to each policyholder or prospective policyholder a policy that provides both: (1) long term care facility coverage; and (2) home and community care cover…

Sec. 1. This chapter applies to qualified long term care insurance policies that are entered into, issued, or renewed after June 30, 2022. As added by P.L.196-2021, SEC.6.

Sec. 2. As used in this chapter, "program" means the Indiana long term care insurance partnership program established by section 4(a) of this chapter. As added by P.L.196-2021, SEC.6.

Sec. 3. As used in this chapter, "qualified long term care insurance policy" means an insurance policy that meets the following requirements: (1) The policy covers an individual who was a resident of the state when the coverage first became effective under the policy. (2) The pol…

Sec. 4. (a) The Indiana long term care insurance partnership program is established. (b) The office of Medicaid policy and planning and the department of insurance shall administer the program in accordance with Section 6021 of the federal Deficit Reduction Act of 2005. As added …

Sec. 5. Under the program, the office of Medicaid policy and planning must exclude and disregard an amount equal to the amount of benefits an individual receives under a qualified long term care insurance policy when determining the following: (1) The individual's resources for p…

Sec. 6. (a) The department of insurance shall develop a training program for insurance producers who sell qualified long term care insurance policies that includes a certified prelicensing course and continuing education courses. The courses must cover, at a minimum, the followin…

Sec. 7. An insurer that issues a qualified long term care insurance policy shall provide regular reports to: (1) the Secretary of the United States Department of Health and Human Services, as required by federal regulations; and (2) the office of Medicaid policy and planning and …

Sec. 8. The secretary of family and social services and the department of insurance may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.196-2021, SEC.6.

As added by P.L.3-2008, SEC.98. Amended by P.L.213-2015, SEC.130. Repealed by P.L.30-2016, SEC.5.

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.10. Repealed by P.L.30-2016, SEC.14.

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.11. Repealed by P.L.30-2016, SEC.15.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.16.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.17.

As added by P.L.3-2008, SEC.98. Amended by P.L.42-2011, SEC.30; P.L.213-2015, SEC.133. Repealed by P.L.30-2016, SEC.18.

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.12. Expired 12-31-2013 by P.L.160-2011, SEC.12.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.19.

Sec. 17. (a) The healthy Indiana plan trust fund is established for the following purposes: (1) Administering a plan created by the general assembly to provide health insurance coverage for low income residents of Indiana under this chapter and IC 12-15-44.5. (2) Providing copaym…

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.20.

As added by P.L.3-2008, SEC.98. Amended by P.L.1-2010, SEC.59; P.L.213-2015, SEC.135. Repealed by P.L.30-2016, SEC.21.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.6.

Sec. 20. (a) The office may establish a health insurance coverage premium assistance program for individuals who meet the following: (1) Have an annual household income of the following: (A) Through December 31, 2013, not more than two hundred percent (200%) of the federal income…

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.14. Repealed by P.L.30-2016, SEC.23.

As added by P.L.160-2011, SEC.15. Repealed by P.L.30-2016, SEC.24.

As added by P.L.3-2008, SEC.98. Amended by P.L.213-2015, SEC.131. Repealed by P.L.30-2016, SEC.7.

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.7; P.L.209-2015, SEC.13. Repealed by P.L.30-2016, SEC.8.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.9.

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.8. Repealed by P.L.30-2016, SEC.10.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.11.

As added by P.L.3-2008, SEC.98. Repealed by P.L.30-2016, SEC.12.