§ 12-16-6.5-5 — Determination of eligibility for assistance and health care items or services; entitled to assistance

Indiana § 12-16-6.5-5

• Jurisdiction: Indiana
• Art. 16: PAYMENT FOR HEALTH SERVICES OTHER
• Ch. 6.5: Hospital Care for the Indigent; Denial of Eligibility

Text

(a) If the division receives an application that
was filed on behalf of a person under IC 12-16-4.5, the division shall
determine:
(1) the eligibility of the person for assistance under the hospital
care for the indigent program; and
(2) if the health care items or services provided to the person and
identified in a claim filed with the division under IC 12-16-4.5
were:
(A) necessitated by at least one (1) medical condition listed in
IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) the direct consequence of at least one (1) of the medical
conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).
(b) If:
(1) the person, initially or upon appeal, is found eligible for
assistance; and
(2) at least one (1) of the items or services identified in the claim
is determined initially or upon appeal:
(A) to have been necessitated by one (1) or more of the medical
conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or
(B) to be a direct consequence of one (1) or more of the medical
conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);
the person is entitled to assistance for those items and services.

Legislative History

As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.34; P.L.145-2005, SEC.21.