§ 12-15-11-3 — Provider agreement requirements

Indiana § 12-15-11-3

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 11: Provider Agreements and Competitive Bidding

Text

A provider agreement must do the following:
(1) Include information that the office determines necessary to
facilitate carrying out of IC 12-15.
(2) Prohibit the provider from requiring payment from a recipient
of Medicaid, except where a copayment is required by law.
(3) For providers categorized as high risk to the Medicaid
program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450,
require the submission of necessary information, forms, or
consents for the office to obtain a national criminal history
background check or, as allowed by the office, a fingerprint-based
criminal history check, through a contractor under IC 12-15-30 or
the state police department under IC 10-13-3-39 of any person
who:
(A) holds at least a five percent (5%) ownership interest in a
facility or entity; or
(B) is a member of the board of directors of a nonprofit facility
or entity;
in which the provider applicant plans to provide Medicaid
services under the provider agreement. The provider applicant is
responsible for the cost of the national criminal history
background check or fingerprint-based criminal history check.
[Pre-1992 Revision Citation: 12-1-7-15.1(b) part.]

Legislative History

As added by P.L.2-1992, SEC.9. Amended by P.L.197-2013, SEC.12; P.L.35-2016, SEC.38.