Indiana Statutes
§ 12-15-12-15 — Coverage for emergency services
A managed care organization shall:
(1)cover and pay for all medically necessary screening services
provided to an individual who presents to an emergency
department with an emergency medical condition; and
(2)beginning July 1, 2001, neither deny nor fail to process a
claim for reimbursement for emergency services on the basis that
the enrollee's primary care provider's authorization code for the
services was not obtained before or after the services were
rendered.
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Legislative History
As added by P.L.223-2001, SEC.7. Amended by P.L.152-2017,
SEC.15.
Nearby Sections
15
§ 12-10-1-1
Establishment of bureau§ 12-10-1-2
Purpose§ 12-10-1-3
Administration of programs§ 12-10-1-4
Duties§ 12-10-1-5
Coordination of services with area agencies§ 12-10-1-6
Area agencies; duties; coverage area changes§ 12-10-10-1
"Case management"§ 12-10-10-1.5
"Activities of daily living"§ 12-10-10-10
Services funding; source§ 12-10-10-12
Negotiation of reimbursement rates§ 12-10-10-2
"Community and home care services"