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·Art. 15 MEDICAID·Ch. 12 Managed Care

(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).]

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) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.