§ 12-15-5-18.7 — Reimbursement for emergency medical services provider organizations; waiver or state plan amendment

Indiana § 12-15-5-18.7

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

Text

7. (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 to provide emergency medical services.
(2) Is a Medicaid provider.
(b) Beginning July 1, 2023, the office of the secretary shall
reimburse an emergency medical services provider organization for
Medicaid covered services to a Medicaid recipient, including:
(1) advanced life support services;
(2) basic life support services; and
(3) nonemergency medical transportation services;
that are within the emergency medical services provider organization's
scope of practice at a rate that is comparable to the federal Medicare
reimbursement rate for the service provided by the emergency medical
services provider organization. However, the reimbursement rate
specified in this subsection may not be implemented by the office of
the secretary before July 1, 2023.
(c) Before September 1, 2022, the office of the secretary shall apply
to the United States Department of Health and Human Services for any
state plan amendment or waiver necessary to implement this section
and IC 12-15-12-18.5.

Legislative History

As added by P.L.142-2022, SEC.1.