Indiana § 27-1-2.3-8.1 Health plan operator payment to a nonparticipating ambulance service

Indiana Statutes

§ 27-1-2.3-8.1 — Health plan operator payment to a nonparticipating ambulance service

Indiana § 27-1-2.3-8.1

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 2.3Payment for Ambulance Services

This text of Indiana § 27-1-2.3-8.1 (Health plan operator payment to a nonparticipating ambulance service) 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 § 27-1-2.3-8.1 (2026).

Text

1. A health plan operator shall provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual:

(1)at a rate set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated;

(2)at the rate of four hundred percent (400%) of the current published rate for ambulance service as established by the Centers for Medicare and Medicaid Services under Title XVIII of the federal Social Security Act (42 U.S.C. 1395 et seq.) for the same ambulance service provided in the same geographic area; or

(3)according to the nonparticipating ambulance service provider's billed charges; whichever is less.

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1. A health plan operator shall provide
payment to a nonparticipating ambulance service provider for
ambulance service provided to a covered individual:
(1) at a rate set or approved, by contract or ordinance, by the
county or municipality in which the ambulance service originated;
(2) at the rate of four hundred percent (400%) of the current
published rate for ambulance service as established by the Centers
for Medicare and Medicaid Services under Title XVIII of the
federal Social Security Act (42 U.S.C. 1395 et seq.) for the same
ambulance service provided in the same geographic area; or
(3) according to the nonparticipating ambulance service provider's
billed charges;
whichever is less.