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Home » US Law » 2022 Indiana Code » Title 12. Human Services » Article 15. Medicaid » Chapter 2.3. Presumptive Eligibility for Women With Breast or Cervical Cancer

12-15-2.3-11. Reimbursement for Care During Presumptive Eligibility

Sec. 11. If a woman described in section 1 of this chapter is: (1) determined to be presumptively eligible for Medicaid under this chapter; and (2) subsequently determined not to be eligible for Medicaid; a qualified entity under section 4(1) or 4(2) of this chapter that determined that the woman was presumptively eligible for Medicaid […]

12-15-2.3-12. Rules

Sec. 12. The office shall adopt rules under IC 4-22-2 to implement this chapter, including rules that may impose additional requirements for qualified entities that are consistent with federal regulations. As added by P.L.152-2001, SEC.3.

12-15-2.3-13. Annual Appropriation to Provide Services

Sec. 13. There is annually appropriated to the office of the secretary of family and social services from the state general fund an amount sufficient to provide services to those individuals eligible for Medicaid under IC 12-15-2-13.5 and this chapter. As added by P.L.16-2009, SEC.18.

12-15-2.3-2. “Qualified Entity”

Sec. 2. As used in this chapter, “qualified entity” means an entity that: (1) is eligible to receive payments and provide items and services under this article; (2) provides outpatient hospital services, rural health clinic services, and any other ambulatory services offered by a rural health clinic, or clinic services furnished by or under the […]

12-15-2.3-4. Identity of Qualified Entities

Sec. 4. The office shall consider the following to be qualified entities: (1) A disproportionate share provider under IC 12-15-16-1(a) or IC 12-15-16-1(b). (2) A federally qualified health clinic. (3) A rural health clinic. As added by P.L.152-2001, SEC.3.

12-15-2.3-6. Period During Which Services Provided

Sec. 6. The office shall provide Medicaid services to a woman described in section 1 of this chapter during a period that: (1) begins on the date on which a qualified entity determines on the basis of preliminary information that the woman is eligible for Medicaid under IC 12-15-2-13.5; and (2) ends on the earlier […]

12-15-2.3-8. Actions Taken After Establishment of Eligibility

Sec. 8. A qualified entity that determines that a woman described in section 1 of this chapter is presumptively eligible for Medicaid shall do the following: (1) Notify the office of the determination within five (5) working days after the date on which the determination is made. (2) Inform the woman at the time a […]

12-15-2.3-9. Completion of Application

Sec. 9. If a woman described in section 1 of this chapter is determined to be presumptively eligible for Medicaid under this chapter, the woman must complete an application for Medicaid as provided in IC 12-15-4 not later than the last day of the month following the month during which the determination is made. As […]