Title 12, TITLE 12. HUMAN SERVICES

As added by P.L.3-2008, SEC.98. Amended by P.L.160-2011, SEC.9; P.L.278-2013, SEC.14; P.L.213-2015, SEC.132. Repealed by P.L.30-2016, SEC.13.

Sec. 1. As used in this chapter, "phase out period" refers to the following periods: (1) The time during which a: (A) phase out plan; (B) demonstration expiration plan; or (C) similar plan approved by the United States Department of Health and Human Services; is in effect for the…

Sec. 10. (a) The secretary has the authority to provide benefits to individuals eligible under the adult group described in 42 CFR 435.119 only in accordance with this chapter. (b) The secretary may negotiate and make changes to the plan, except that the secretary may not negotia…

Sec. 2. As used in this chapter, "plan" refers to the healthy Indiana plan established by section 3 of this chapter. As added by P.L.213-2015, SEC.136. Amended by P.L.30-2016, SEC.25.

Sec. 2.3. As used in this chapter, "preventative care services" means care that is provided to an individual to prevent disease, diagnose disease, or promote good health. As added by P.L.30-2016, SEC.26.

of plan; ensure enrollment distribution; consumer protection; provider participation; exemptions Sec. 3. (a) The healthy Indiana plan is established. (b) The office shall administer the plan. (c) The following individuals are eligible for the plan: (1) The adult group described i…

Sec. 3.5. (a) The plan must include the following in a manner and to the extent determined by the office: (1) Mental health care services. (2) Inpatient hospital services. (3) Prescription drug coverage, including coverage of a long acting, nonaddictive medication assistance trea…

report to budget committee Sec. 4. (a) The plan: (1) is not an entitlement program; and (2) serves as an alternative to health care coverage under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.). (b) If either of the following occurs, the office shall termin…

Sec. 4.5. (a) An individual who participates in the plan must have a health care account to which payments may be made for the individual's participation in the plan. (b) An individual's health care account must be used to pay the individual's deductible for health care services …

make payments; state contribution; change in health plan Sec. 4.7. (a) To participate in the plan, an individual must apply for the plan on a form prescribed by the office. The office may develop and allow a joint application for a household. (b) A pregnant woman is not subject t…

Sec. 5.5. The office shall refer any member of the plan who: (1) is employed for less than twenty (20) hours per week; and (2) is not a full-time student; to a workforce training and job search program. As added by P.L.30-2016, SEC.33.

copayment Sec. 5.7. Subject to appeal to the office, an individual may be held responsible under the plan for receiving nonemergency services in an emergency room setting, including prohibiting the individual from using funds in the individual's health care account to pay for the…

assessment fees; notice and phase out if plan is terminated Sec. 6. (a) For a state fiscal year beginning July 1, 2018, or thereafter, the office, after review by the state budget committee, may determine that no incremental fees collected under IC 16-21-10-13.3 are required to b…

administration; fund is considered a trust fund Sec. 7. (a) The phase out trust fund is established for the purpose of holding the money needed during a phase out period of the plan. Funds deposited under this section shall be used only: (1) to fund the state share of the expense…

requirements for use of the incremental hospital assessment fee; payment for health care services; administrative costs; profit Sec. 8. The following requirements apply to funds appropriated by the general assembly to the plan and the incremental fee used for purposes of IC 16-21…

Sec. 9. (a) The office may adopt rules under IC 4-22-2 necessary to implement: (1) this chapter; or (2) a Section 1115 Medicaid demonstration waiver concerning the plan that is approved by the United States Department of Health and Human Services. (b) The office may adopt emergen…

Sec. 1. As used in this chapter, "oversight committee" refers to the Medicaid oversight committee established by section 2 of this chapter. As added by P.L.201-2023, SEC.137.

Sec. 2. The Medicaid oversight committee is established. As added by P.L.201-2023, SEC.137.

Sec. 3. The oversight committee consists of the following members: (1) The chairperson of the house ways and means committee. (2) The ranking minority member of the house ways and means committee. (3) One (1) member of the house ways and means committee who is appointed by the sp…

Sec. 4. The oversight committee shall review, consider, and make recommendations concerning all requests for new services and changes in existing services for the Medicaid program. As added by P.L.201-2023, SEC.137.

Sec. 5. The chairperson of the legislative council shall appoint the chairperson of the oversight committee from the members of the committee. As added by P.L.201-2023, SEC.137.