§ 11-12-5-5.5 — County reimbursement for health care services provided to person subject to lawful detention

Indiana § 11-12-5-5.5

• Jurisdiction: Indiana
• Art. 12: COMMUNITY CORRECTIONS
• Ch. 5: County Jails: Work; Temporary Release

Text

5. (a) As used in this section, "charge
description master" means a listing of the amount charged by a hospital
for each service, item, and procedure:
(1) provided by the hospital; and
(2) for which a separate charge exists.
(b) As used in this section, "health care services" includes health
care items and procedures.
(c) As used in this section, "lawful detention" means the following:
(1) Arrest.
(2) Custody following surrender in lieu of arrest.
(3) Detention in a penal facility.
(4) Detention for extradition or deportation.
(5) Custody for purposes incident to any of the above, including
transportation, medical diagnosis or treatment, court appearances,
work, or recreation.
The term does not include supervision of a person on probation or
parole or constraint incidental to release with or without bail.
(d) This section:
(1) does not apply in the case of a person who is subject to lawful
detention by a county sheriff and is:
(A) covered under private health coverage for health care
services; or
(B) willing to pay for the person's own health care services;
(2) does not apply to an inmate receiving inpatient services under
IC 36-2-13-19; and
(3) does not affect copayments required under section 5 of this
chapter.
(e) Except as provided in subsections (f) and (g), a county that is
responsible for payment for health care services provided to a person
who is subject to lawful detention by the county's sheriff shall
reimburse:
(1) a physician licensed under IC 25-22.5;
(2) a hospital licensed under IC 16-21-2; or
(3) another health care provider;
for the cost of a health care service at the federal Medicare
reimbursement rate for the health care service provided plus four
percent (4%).
(f) Except as provided in subsection (g), if there is no federal
Medicare reimbursement rate for a health care service described in
subsection (e), the county shall do the following:
(1) If the health care service is provided by a hospital, the county
shall reimburse the hospital an amount equal to sixty-five percent
(65%) of the amount charged by the hospital according to the
hospital's charge description master.
(2) If the health care service is provided by a physician or another
health care provider, the county shall reimburse the physician or
health care provider an amount equal to sixty-five percent (65%)
of the amount charged by the physician or health care provider.
(g) A county described in subsection (e) or (f) may reimburse a
health care provider described in subsection (e)(1), (e)(2), or (e)(3) at
a lower reimbursement rate than the rate required by subsection (e) or
(f) if the county enters into an agreement with a health care provider
described in subsection (e)(1), (e)(2), or (e)(3) to reimburse the health
care provider for a health care service at the lower reimbursement rate.

Legislative History

As added by P.L.80-2009, SEC.1. Amended by P.L.205-2011, SEC.1; P.L.185-2015, SEC.6.