§ 12-15-12-18.5 — Reimbursement for emergency medical services provider organizations; implementation

Indiana § 12-15-12-18.5

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 12: Managed Care

Text

5. (a) Except as provided in subsection
(b), this section applies to an emergency medical services provider
organization that meets the following requirements:
(1) Is certified by the Indiana emergency medical services
commission to provide emergency medical services.
(2) Is a Medicaid provider.
(b) This section does not apply to an emergency medical services
provider organization that has contracted with the recipient's managed
care organization to provide emergency medical services described in
this section at a negotiated rate that is different than the Medicare rate
described in this section.
(c) Beginning July 1, 2023, a managed care organization shall
reimburse an emergency medical services provider organization for
Medicaid covered services provided to a Medicaid recipient, including:
(1) advanced life support services;
(2) basic life support services; and
(3) nonemergency medical transportation services;
that are within the emergency medical services provider organization's
scope of practice at a rate that is comparable to the federal Medicare
reimbursement rate for the service provided by the emergency medical
services provider organization. However, the reimbursement rate
specified in this subsection may not be implemented by the office of
the secretary before July 1, 2023.

Legislative History

As added by P.L.142-2022, SEC.2.