Indiana § 12-15-13-1.8 Covered population; risk based managed care program; penalty
payments

Indiana Statutes

§ 12-15-13-1.8 — Covered population; risk based managed care program; penalty payments

Indiana § 12-15-13-1.8

Art. 15MEDICAID

Ch. 13Provider Payment; General

This text of Indiana § 12-15-13-1.8 (Covered population; risk based managed care program; penalty payments) 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 § 12-15-13-1.8 (2026).

Text

8.

(a)As used in this section, "covered population" means all Medicaid recipients who meet the criteria set forth in subsection (b).

(b)An individual is a member of the covered population if the individual:

(1)is eligible to participate in the federal Medicare program (42 U.S.C. 1395 et seq.) and receives nursing facility services; or

(2)is:

(A)at least sixty (60) years of age;

(B)blind, aged, or disabled; and

(C)receiving services through one (1) of the following:

(i)The aged and disabled Medicaid waiver.

(ii)A risk based managed care program for aged, blind, or disabled individuals who are not eligible to participate in the federal Medicare program.

(iii)The state Medicaid plan.

(c)The office of the secretary may implement a risk based managed care program for the covered popu

Free access — add to your briefcase to read the full text and ask questions with AI

8. (a) As used in this section, "covered
population" means all Medicaid recipients who meet the criteria set
forth in subsection (b).
(b) An individual is a member of the covered population if the
individual:
(1) is eligible to participate in the federal Medicare program (42
U.S.C. 1395 et seq.) and receives nursing facility services; or
(2) is:
(A) at least sixty (60) years of age;
(B) blind, aged, or disabled; and
(C) receiving services through one (1) of the following:
(i) The aged and disabled Medicaid waiver.
(ii) A risk based managed care program for aged, blind, or
disabled individuals who are not eligible to participate in the
federal Medicare program.
(iii) The state Medicaid plan.
(c) The office of the secretary may implement a risk based managed
care program for the covered population.
(d) Any managed care organization that participates in the risk
based managed care program under subsection (c) that fails to pay a
claim submitted by a nursing facility provider for payment under the
program later than:
(1) twenty-one (21) days, if the claim was electronically filed; or
(2) thirty (30) days, if the claim was filed on paper;
from receipt by the managed care organization shall pay a penalty of
five hundred dollars ($500) per calendar day per claim.