§ 12-15-5-18.5 — Reimbursement for emergency medical services

Indiana § 12-15-5-18.5

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

Text

5. (a) This section applies to an emergency
medical services provider organization that meets the following
requirements:
(1) Is certified by the Indiana emergency medical services
commission as an advanced life support provider organization
under rules adopted under IC 16-31-3.
(2) Is a Medicaid provider.
(b) The office of the secretary shall provide reimbursement for
Medicaid covered services provided to a Medicaid recipient that are:
(1) rendered by an emergency medical services provider
organization that is a Medicaid provider;
(2) within the emergency medical services provider organization's
scope of practice;
(3) performed or provided as advanced life support services; and
(4) performed or provided during a response initiated through the
911 system, regardless of whether the patient is transported.
(c) If multiple emergency medical services provider organizations
qualify and submit a claim for reimbursement under this section, the
office of the secretary:
(1) may reimburse under this section only for one (1) claim per
patient encounter; and
(2) shall reimburse the claim submitted by the emergency medical
services provider organization that performed or provided the
majority of advanced life support services.
(d) The office of the secretary may apply to the United States
Department of Health and Human Services for any amendment to the
state Medicaid plan or for any Medicaid waiver necessary to implement
this section.

Legislative History

As added by P.L.115-2020, SEC.3.