§ 16-41-19.5-5 — Reimbursement of recipients by state department

Indiana § 16-41-19.5-5

• Jurisdiction: Indiana
• Title 16: HEALTH
• Art. 41: PUBLIC HEALTH MEASURES FOR THE
• Ch. 19.5: Prevention and Treatment Programs: Post-Organ

Text

(a) Except as provided in subsection (b), the
state department may not reimburse an eligible recipient under the
post-organ transplant program for drug costs that are reimbursed or
eligible for reimbursement by a governmental entity or other third
party, including Medicaid, Medicare, the Veterans Administration, a
health insurance company, or a health maintenance organization.
(b) The state health commissioner may waive the requirements of
subsection (a) on a case by case basis if the commissioner determines
that enforcement of subsection (a) will deny services to a class of
post-organ transplant patients because of conflicting state or federal
law.
(c) The state department shall adopt rules under IC 4-22-2 to ensure
that all required benefit payments for post-organ transplant drugs under
subsection (a) are properly paid.

Legislative History

As added by P.L.27-1999, SEC.2.