Indiana § 12-15-11.5-2 Hospital as contracted provider to eligible individuals

Indiana Statutes

§ 12-15-11.5-2 — Hospital as contracted provider to eligible individuals

Indiana § 12-15-11.5-2

Art. 15MEDICAID

Ch. 11.5Lake County Disproportionate Share Hospitals

This text of Indiana § 12-15-11.5-2 (Hospital as contracted provider to eligible individuals) 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 § 12-15-11.5-2 (2026).

Text

The office's managed care organization shall regard a hospital as a contracted provider in the office's managed care program, which provides a capitated prepayment managed care system, for the provision of medical services to each individual who:

(1)is eligible to receive services under IC 12-15 and has enrolled in the office's managed care services program;

(2)resides in the same city in which the hospital is located; and

(3)has selected a primary care provider who:

(A)is a contracted provider with the office's managed care organization; and

(B)has medical staff privileges at the hospital.

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The office's managed care organization shall
regard a hospital as a contracted provider in the office's managed care
program, which provides a capitated prepayment managed care system,
for the provision of medical services to each individual who:
(1) is eligible to receive services under IC 12-15 and has enrolled
in the office's managed care services program;
(2) resides in the same city in which the hospital is located; and
(3) has selected a primary care provider who:
(A) is a contracted provider with the office's managed care
organization; and
(B) has medical staff privileges at the hospital.