Ind. Code § 12-15-11.5-2

Current through P.L. 171-2024
Section 12-15-11.5-2 - Hospital as contracted provider to eligible individuals

The office's managed care organization shall regard a hospital as a contracted provider in the office's managed care program, which provides a capitated prepayment managed care system, for the provision of medical services to each individual who:

(1) is eligible to receive services under IC 12-15 and has enrolled in the office's managed care services program;
(2) resides in the same city in which the hospital is located; and
(3) has selected a primary care provider who:
(A) is a contracted provider with the office's managed care organization; and
(B) has medical staff privileges at the hospital.

IC 12-15-11.5-2

Amended by P.L. 152-2017,SEC. 8, eff. 7/1/2017.
As added by P.L. 142-2000, SEC.2. Amended by P.L. 141-2001, SEC.2.