Indiana § 12-15-44.5-5 Managed care organization responsibilities; reimbursement; cultural
competency standards

Indiana Statutes

§ 12-15-44.5-5 — Managed care organization responsibilities; reimbursement; cultural competency standards

Indiana § 12-15-44.5-5

Art. 15MEDICAID

Ch. 44.5Healthy Indiana Plan 2.0

This text of Indiana § 12-15-44.5-5 (Managed care organization responsibilities; reimbursement; cultural competency standards) 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 § 12-15-44.5-5 (2026).

Text

(a)A managed care organization that contracts with the office to provide health coverage, dental coverage, or vision coverage to an individual who participates in the plan:

(1)is responsible for the claim processing for the coverage;

(2)shall reimburse providers at a rate that is not less than the rate established by the secretary; and

(3)may not deny coverage to an eligible individual who has been approved by the office to participate in the plan.

(b)A managed care organization that contracts with the office to provide health coverage under the plan must incorporate cultural competency standards established by the office. The standards must include standards for non-English speaking, minority, and disabled populations.

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(a) A managed care organization that
contracts with the office to provide health coverage, dental coverage,
or vision coverage to an individual who participates in the plan:
(1) is responsible for the claim processing for the coverage;
(2) shall reimburse providers at a rate that is not less than the rate
established by the secretary; and
(3) may not deny coverage to an eligible individual who has been
approved by the office to participate in the plan.
(b) A managed care organization that contracts with the office to
provide health coverage under the plan must incorporate cultural
competency standards established by the office. The standards must
include standards for non-English speaking, minority, and disabled
populations.