Indiana § 12-15-12-6 Admission to hospital by physician other than managed care provider;
notification of managed care provider; services for which payment
made

Indiana Statutes

§ 12-15-12-6 — Admission to hospital by physician other than managed care provider; notification of managed care provider; services for which payment made

Indiana § 12-15-12-6

Art. 15MEDICAID

Ch. 12Managed Care

This text of Indiana § 12-15-12-6 (Admission to hospital by physician other than managed care provider; notification of managed care provider; services for which payment made) 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 § 12-15-12-6 (2026).

Text

(a)A Medicaid recipient may be admitted to a hospital by a physician other than the recipient's managed care provider if the recipient requires immediate medical treatment.

(b)The admitting physician shall notify the recipient's managed care provider of the recipient's admission not more than forty-eight (48) hours after the recipient's admission.

(c)Payment for services provided a recipient admitted to a hospital under this section shall be made only for services that the office or the contractor under IC 12-15-30 determines were medically reasonable and necessary. [Pre-1992 Revision Citation: 12-1-7-16.1(e).]

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(a) A Medicaid recipient may be admitted to
a hospital by a physician other than the recipient's managed care
provider if the recipient requires immediate medical treatment.
(b) The admitting physician shall notify the recipient's managed care
provider of the recipient's admission not more than forty-eight (48)
hours after the recipient's admission.
(c) Payment for services provided a recipient admitted to a hospital
under this section shall be made only for services that the office or the
contractor under IC 12-15-30 determines were medically reasonable
and necessary.
[Pre-1992 Revision Citation: 12-1-7-16.1(e).]