Indiana § 12-12.7-2-17 Cost participation schedule; cost participation plan

Indiana Statutes

§ 12-12.7-2-17 — Cost participation schedule; cost participation plan

Indiana § 12-12.7-2-17

Art. 12.7CHILD DEVELOPMENT SERVICES

Ch. 2Infants and Toddlers With Disabilities Program

This text of Indiana § 12-12.7-2-17 (Cost participation schedule; cost participation plan) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 12-12.7-2-17 (2026).

Text

(a)As used in this section, "per unit of treatment" means an increment of fifteen (15) minutes for services provided to an individual.

(b)A family shall participate in the cost of programs and services provided under this chapter to the extent allowed by federal law according to a cost participation schedule established by the division. The cost participation schedule must be based on the federal income poverty level and set forth a copayment per unit of treatment and a maximum monthly cost share amount.

(c)A cost participation plan used by the division for families to participate in the cost of the programs and services provided under this chapter:

(1)must:

(A)be based on income and ability to pay;

(B)provide for a review of a family's cost participation amount:

(i)annually; and (i

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(a) As used in this section, "per unit of
treatment" means an increment of fifteen (15) minutes for services
provided to an individual.
(b) A family shall participate in the cost of programs and services
provided under this chapter to the extent allowed by federal law
according to a cost participation schedule established by the division.
The cost participation schedule must be based on the federal income
poverty level and set forth a copayment per unit of treatment and a
maximum monthly cost share amount.
(c) A cost participation plan used by the division for families to
participate in the cost of the programs and services provided under this
chapter:
(1) must:
(A) be based on income and ability to pay;
(B) provide for a review of a family's cost participation amount:
(i) annually; and
(ii) within thirty (30) days after the family reports a reduction
in income; and
(C) allow the division to waive a required copayment if other
medical expenses or personal care needs expenses for any
member of the family reduce the level of income the family has
available to pay copayments under this section;
(2) may allow a family to voluntarily contribute payments that
exceed the family's required cost participation amount;
(3) must require the family to allow the division access to all
health care coverage information that the family has concerning
the infant or toddler who is to receive services;
(4) must require families to consent to the division billing third
party payors for early intervention services provided;
(5) may allow the division to waive the billing to third party
payors if the family is able to demonstrate financial or personal
hardship on the part of the family member; and
(6) must require the division to waive the family's monthly
copayments in any month for those services for which it receives
payment from the family's health insurance coverage.
(d) Funds received through a cost participation plan under this
section must be used to fund programs described in section 18 of this
chapter.
(e) Before the division may make a change to the cost participation
schedule, the division must do the following:
(1) Release the proposed changes to the cost participation
schedule for public comment no later than September 1 in the
year before the change will be effective.
(2) Allow a sixty (60) day public comment period on the proposed
changes to the cost participation schedule.
(3) Implement any change to the cost participation schedule no
earlier than July 1 of the year following the release of the
proposed change under subdivision (1).