§ 12-16-7.5-1.2 — Eligible patient not financially obligated; payment

Indiana § 12-16-7.5-1.2

• Jurisdiction: Indiana
• Art. 16: PAYMENT FOR HEALTH SERVICES OTHER
• Ch. 7.5: Hospital Care for the Indigent; Cost of Care and

Text

2. (a) A person determined to be eligible
under the hospital care for the indigent program is not financially
obligated for services provided to the person during the person's
eligibility under the program, if the items or services were:
(1) identified in a claim filed with the division under IC 12-16-4.5; and
(2) determined:
(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).
(b) Hospitals may receive a payment from the office calculated and
made under IC 12-15-15-9 and, if applicable, IC 12-15-15-9.5.
Hospitals shall not file claims for payments under IC 12-15-15-9 and
IC 12-15-15-9.5 for payments attributable to state fiscal years
beginning after June 30, 2007.
(c) Based on a physician's services identified in a claim under
subsection (a), the physician may receive a payment from the division
calculated and made under section 5 of this chapter.
(d) Based on the transportation services identified in a claim under
subsection (a), the transportation provider may receive a payment from
the division calculated and made under section 5 of this chapter.

Legislative History

As added by P.L.145-2005, SEC.23. Amended by P.L.212-2007, SEC.25; P.L.218-2007, SEC.36.