Indiana § 11-10-3-7 Determination on coverage of insurance for medical care expenses;
department as Medicaid authorized representative; memorandum of
understanding; reimbursement for medical care

Indiana Statutes

§ 11-10-3-7 — Determination on coverage of insurance for medical care expenses; department as Medicaid authorized representative; memorandum of understanding; reimbursement for medical care

Indiana·Art. 10 CORRECTIONAL SERVICES AND PROGRAMS·Ch. 3 Medical Care

(a)If the department or a county incurs medical care expenses in providing medical care to an inmate who is committed to the department and the medical care expenses are not reimbursed, the department or the county shall attempt to determine the amount, if any, of the medical care expenses that may be paid:

(1)by a policy of insurance that is maintained by the inmate and that covers medical care, dental care, eye care, or any other health care related service; or

(2)by Medicaid.

(b)For an inmate who:

(1)is committed to the department and resides in a department facility or jail;

(2)incurs or will incur medical care expenses that are not otherwise reimbursable;

(3)is unwilling or unable to pay for the inmate's own health care services; and

(4)is potentially eligible for Medicaid (IC

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(a) If the department or a county incurs medical
care expenses in providing medical care to an inmate who is committed
to the department and the medical care expenses are not reimbursed,
the department or the county shall attempt to determine the amount, if
any, of the medical care expenses that may be paid:
(1) by a policy of insurance that is maintained by the inmate and
that covers medical care, dental care, eye care, or any other health
care related service; or
(2) by Medicaid.
(b) For an inmate who:
(1) is committed to the department and resides in a department
facility or jail;
(2) incurs or will incur medical care expenses that are not
otherwise reimbursable;
(3) is unwilling or unable to pay for the inmate's own health care
services; and
(4) is potentially eligible for Medicaid (IC 12-15);
the department is the inmate's Medicaid authorized representative and
may apply for Medicaid on behalf of the inmate.
(c) The department and the office of the secretary of family and
social services shall enter into a written memorandum of understanding
providing that the department shall reimburse the office of the secretary
for administrative costs and the state share of the Medicaid costs
incurred for an inmate.
(d) Reimbursement under this section for reimbursable health care
services provided by a health care provider, including a hospital, to an
inmate as an inpatient in a hospital must be as follows:
(1) For inmates eligible and participating in the healthy Indiana
plan (IC 12-15-44.5), the reimbursement rates described in IC 12-15-44.5-5.
(2) For inmates other than those described in subdivision (1) who
are eligible under the Medicaid program, the reimbursement rates
provided under the Medicaid program, except that reimbursement
for inpatient hospital services shall be reimbursed at rates equal
to the fee-for-service rates described in IC 16-21-10-8(a)(1).
Hospital assessment fee funds collected under IC 16-21-10 or the
healthy Indiana plan trust fund (IC 12-15-44.2-17) may not be used as
the state share of Medicaid costs for the reimbursement of health care
services provided to the inmate as an inpatient in the hospital.

Indiana § 11-10-3-7 (Determination on coverage of insurance for medical care expenses; department as Medicaid authorized representative; memorandum of understanding; reimbursement for medical care) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.