CHAPTER 10.5. HOSPITAL CARE FOR THE INDIGENT; RULES - Indiana Statutes

IC 12-16-10.5
     Chapter 10.5. Hospital Care for the Indigent; Rules

IC 12-16-10.5-1
Adopting rules; requisites
     Sec. 1. The division shall, with the advice of the division's medical staff, the division of mental health and addiction, the division of aging, the division of disability and rehabilitative services, and other individuals selected by the director of the division, adopt rules under IC 4-22-2 to do the following:
        (1) Provide for review and approval of services paid under the hospital care for the indigent program.
        (2) Establish limitations consistent with medical necessity on the duration of services to be provided.
        (3) Specify the amount of and method for reimbursement for services.
        (4) Specify the conditions under which payments will be denied and improper payments will be recovered.
As added by P.L.120-2002, SEC.26. Amended by P.L.141-2006, SEC.58.

IC 12-16-10.5-2
Consistency of adopted rules with other Medicaid rules
     Sec. 2. To the extent possible, rules adopted under section 1 of this chapter must be consistent with IC 12-15-21-2 and IC 12-15-21-3.
As added by P.L.120-2002, SEC.26.

IC 12-16-10.5-3
Rules denying payment for services to medically stable and safely discharged patients
     Sec. 3. The rules adopted under section 1 of this chapter must include rules that will deny payment for services provided to a patient after the patient is medically stable and can safely be discharged.
As added by P.L.120-2002, SEC.26.

IC 12-16-10.5-4
Statewide data collection system; requirements; filing copies of submitted claims
     Sec. 4. (a) The division shall adopt rules under IC 4-22-2 necessary to establish a statewide collection system of data concerning the hospital care for the indigent program.
    (b) The following data must be collected:
        (1) Patient demographics.
        (2) Types of services provided by hospitals.
        (3) Costs of particular types of services provided by hospitals.
    (c) A hospital that provides services under the hospital care for the indigent program shall file copies of all claims submitted under the program with the contractor engaged by the division to adjudicate

claims.
As added by P.L.120-2002, SEC.26.

IC 12-16-10.5-5
Rules for appeals; consistency with other rules
     Sec. 5. The division may adopt rules under IC 4-22-2 that are in addition to and consistent with the rules required to be adopted under IC 12-16-6.5 governing appeals brought under the hospital care for the indigent program to the division.
As added by P.L.120-2002, SEC.26.

IC 12-16-10.5-6
Repealed
    (Repealed by P.L.255-2003, SEC.55.)