§ 12-15-13-6 — Notices or bulletins; timing; noncompliance

Indiana § 12-15-13-6

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 13: Provider Payment; General

Text

(a) Except as provided by IC 12-15-35-50, a
notice or bulletin that is issued by:
(1) the office;
(2) a contractor of the office; or
(3) a managed care organization;
concerning a change to the Medicaid program, including a change to
prior authorization, claims processing, payment rates, and medical
policies, that does not require use of the rulemaking process under IC 4-22-2 may not become effective until thirty (30) days after the date the
notice or bulletin is communicated to the parties affected by the notice
or bulletin.
(b) The office must provide a written notice or bulletin described in
subsection (a) within five (5) business days after the date on the notice
or bulletin.
(c) If the office, a contractor of the office, or a managed care
organization does not comply with the requirements in subsections (a)
and (b):
(1) the notice or bulletin is void;
(2) a claim may not be denied because the claim does not comply
with the void notice or bulletin; and
(3) the office, a contractor of the office, or a managed care
organization may not reissue the bulletin or notice for thirty (30)
days unless the change is required by the federal government to
be implemented earlier.

Legislative History

As added by P.L.42-1995, SEC.22. Amended by P.L.187-2007, SEC.2; P.L.15-2009, SEC.1; P.L.153-2011, SEC.17; P.L.152-2017, SEC.22.