Section 12-15-12-18.5 - Reimbursement for emergency medical services provider organizations; implementation(a) Except as provided in subsection (b), this section applies to an emergency medical services provider organization that meets the following requirements: (1) Is certified by the Indiana emergency medical services commission to provide emergency medical services.(2) Is a Medicaid provider.(b) This section does not apply to an emergency medical services provider organization that has contracted with the recipient's managed care organization to provide emergency medical services described in this section at a negotiated rate that is different than the Medicare rate described in this section.(c) Beginning July 1, 2023, a managed care organization shall reimburse an emergency medical services provider organization for Medicaid covered services provided to a Medicaid recipient, including:(1) advanced life support services;(2) basic life support services; and(3) nonemergency medical transportation services; that are within the emergency medical services provider organization's scope of practice at a rate that is comparable to the federal Medicare reimbursement rate for the service provided by the emergency medical services provider organization. However, the reimbursement rate specified in this subsection may not be implemented by the office of the secretary before July 1, 2023.
Added by P.L. 142-2022,SEC. 2, eff. 7/1/2022.