§ 12-15-5-14 — Reimbursement for services provided by advanced practice registered nurse; eligible provider

Indiana § 12-15-5-14

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 5: Services Provided

Text

(a) As used in this section, "advanced
practice registered nurse" means:
(1) a nurse practitioner; or
(2) a clinical nurse specialist;
who is a registered nurse licensed under IC 25-23 and qualified to
practice nursing in a specialty role based upon the additional
knowledge and skill gained through a formal organized program of
study and clinical experience, or the equivalent as determined by the
Indiana state board of nursing.
(b) As used in this section, "office" includes the following:
(1) The office of the secretary of family and social services.
(2) A managed care organization that has contracted with the
office of Medicaid policy and planning under this article.
(3) A person that has contracted with a managed care organization
described in subdivision (2).
(c) The office shall reimburse eligible Medicaid claims for the
following services provided by an advanced practice registered nurse
employed by a community mental health center if the services are part
of the advanced practice registered nurse's scope of practice:
(1) Mental health services.
(2) Behavioral health services.
(3) Substance abuse treatment.
(4) Primary care services.
(5) Evaluation and management services for inpatient or
outpatient psychiatric treatment.
(6) Prescription drugs.
(d) The office shall include an advanced practice registered nurse
as an eligible provider for the supervision of a plan of treatment for a
patient's outpatient mental health or substance abuse treatment
services, if the supervision is in the advanced practice registered
nurse's scope of practice, education, and training.
(e) This section:
(1) may not be construed to expand an advanced practice
registered nurse's scope of practice; and
(2) is subject to IC 25-23-1-19.4(c) and applies only if the service
is included in the advanced practice registered nurse's practice
agreement with a collaborating physician.

Legislative History

As added by P.L.87-2016, SEC.4. Amended by P.L.85-2017, SEC.58; P.L.129-2018, SEC.5.