Ind. Code § 12-15-35.5-7.5

Current through P.L. 171-2024
Section 12-15-35.5-7.5 - Reimbursement for methadone when prescribed for pain; requirements
(a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown by the provider.
(b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only as follows:
(1) If the daily dosage is not more than sixty (60) milligrams.
(2) If the daily dosage is more than sixty (60) milligrams, only if:
(A) prior authorization is obtained; and
(B) a determination of medical necessity has been shown.

IC 12-15-35.5-7.5

Added by P.L. 209-2015, SEC. 12, eff. 7/1/2015.