Indiana § 27-1-2.3-8 Fair negotiation of rates and terms for ambulance service; rate
negotiations; considerations

Indiana Statutes

§ 27-1-2.3-8 — Fair negotiation of rates and terms for ambulance service; rate negotiations; considerations

Indiana § 27-1-2.3-8

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 2.3Payment for Ambulance Services

This text of Indiana § 27-1-2.3-8 (Fair negotiation of rates and terms for ambulance service; rate negotiations; considerations) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-1-2.3-8 (2026).

Text

(a)The state shall fairly negotiate rates and terms with any ambulance service provider willing to become a participating provider with respect to the state employee health plan.

(b)In negotiations under subsection (a), the state employee health plan must consider all of the following:

(1)The ambulance service provider's usual and customary rates.

(2)The ambulance service provider's resources, and whether the ambulance service provider's staff is available twenty-four (24) hours per day every day.

(3)The average wages and fuel costs in the geographical area in which the ambulance service provider operates.

(4)The number of times in which individuals covered by the state employee health plan have sought ambulance service from the ambulance service provider but the ambulance service pr

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(a) The state shall fairly negotiate rates and
terms with any ambulance service provider willing to become a
participating provider with respect to the state employee health plan.
(b) In negotiations under subsection (a), the state employee health
plan must consider all of the following:
(1) The ambulance service provider's usual and customary rates.
(2) The ambulance service provider's resources, and whether the
ambulance service provider's staff is available twenty-four (24)
hours per day every day.
(3) The average wages and fuel costs in the geographical area in
which the ambulance service provider operates.
(4) The number of times in which individuals covered by the state
employee health plan have sought ambulance service from the
ambulance service provider but the ambulance service provider's
response was canceled or did not result in a transport.
(5) The local ordinances and state rules concerning staffing,
response times, and equipment under which the ambulance
service provider must operate.
(6) The types of requests for ambulance service for individuals
covered by the state employee health plan that the ambulance
service provider generally receives, and the requesting party or
agency by which those requests are generally made.
(7) The average reimbursement rate per level of service that the
ambulance service provider generally receives as a
nonparticipating provider.
(8) The specific:
(A) clinical and staff capabilities; and
(B) equipment resources;
that an ambulance service provider must have to adequately meet
the needs of individuals covered by the state employee health
plan, such as for the transportation of individuals covered by the
state employee health plan from one (1) hospital to another after
traumatic injury.
(9) The average transport cost data reported to the office of the
secretary of family and social services by governmental
ambulance service providers located within the counties, and
contiguous counties, that the nonparticipating ambulance service
provider serves.