reglab/housing_qa huggingface dataset:
IN Code § 12-15-30-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-2. Contract Requirements and Qualifications; Preparation of Bid Specifications

Sec. 2. The office shall do the following:(1) Prepare requirements, including qualifications, for bidders offering to contract with the state to perform the functions under section 3 of this chapter.(2) Assist the Indiana department of administration in preparing bid specifications in conformity with requirements.[Pre-1992 Revision Citation: 12-1-7-17.1(b).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-30-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-3. Medicaid Claims; Finance and Administration; Plan Options

Sec. 3. The office shall select an approach to finance and administer Medicaid claims consisting of one (1) of the following:(1) A direct provider payment plan administered by the office.(2) A direct provider payment plan administered by a fiscal agent.(3) A managed care organization.(4) Any combination of the plans described in this section.[Pre-1992 Revision Citation: 12-1-7-17.1(c).]As added by P.L.2-1992, SEC.9. Amended by P.L.152-2017, SEC.24.
IN Code § 12-15-30-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-4. Term of Contracts; Extensions

Sec. 4. (a) A contract to administer any part of the Medicaid program may be for an original term of not more than four (4) years.(b) At the option of the office, the term of the contract may be extended for a term of not more than two (2) additional years.(c) An extension may be granted for a contract that is in effect.[Pre-1992 Revision Citation: 12-1-7-17.1(d).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-30-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-5. Subcontracts

Sec. 5. (a) A contractor with the state under this chapter may subcontract a part of the contract, subject to the approval of the office and the Indiana department of administration.(b) A subcontract may not extend beyond the term of the contract.(c) A contractor shall furnish information concerning the following:(1) The amount of the subcontract.(2) The qualifications of the subcontractor for guaranteeing performance.(3) Other information required by the state.(d) A contract or subcontract executed under this section is a public record under IC 5-14-3-2.[Pre-1992 Revision Citation: 12-1-7-17.1(e).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-30-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-6. Statement of Adjusted Actual Medicaid Provider Costs and Insurance Premiums; Certification to Auditor of State; Payment by Auditor of State

Sec. 6. (a) A contractor under section 1 of this chapter shall submit a detailed statement, at the times and in the form prescribed by the office, for the amount of adjusted actual Medicaid provider costs and insurance premiums.(b) The office shall certify a statement under subsection (a) to the auditor of state, who shall pay the amount of the adjusted actual Medicaid provider costs and insurance premiums from the Medicaid account of the state general fund.(c) The auditor of state may not pay a Medicaid provider costs in advance of services provided.[Pre-1992 Revision Citation: 12-1-7-17.1(f).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-30-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30. Contracting|12-15-30-7. Statement Requesting Payment for Fees for Performance of Administrative Responsibilities; Certification to Auditor of State

Sec. 7. (a) A contractor under section 1 of this chapter shall submit a statement, at the times and in the form prescribed by the office, requesting payment for fees for performance of administrative responsibilities under contracts executed under this chapter.(b) The office shall certify a statement under subsection (a) to the auditor of state, who shall pay the amount of the requested fees.[Pre-1992 Revision Citation: 12-1-7-17. 1(g).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-30.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-1. "Broker"

Sec. 1. As used in this chapter, "broker" means a contractor of the office that administers the Medicaid fee-for-service nonemergency medical transportation program.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-2. "Commission"

Sec. 2. As used in this chapter, "commission" refers to the nonemergency medical transportation commission established by section 7 of this chapter.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-3. "Nonemergency Medical Transportation"

Sec. 3. As used in this chapter, "nonemergency medical transportation" means medically necessary transportation to Medicaid covered services for an eligible Medicaid recipient who:(1) participates in the Medicaid fee-for-service program; and(2) does not have available transportation to:(A) a Medicaid reimbursable service; or(B) a pharmacy to obtain Medicaid reimbursable pharmacy services.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-5. Broker Requirements; Confidentiality; Remediation Plan

Sec. 5. (a) A broker shall establish, implement, and maintain the following:(1) One (1) toll free telephone number clearly identified for the handling of complaints concerning the nonemergency medical transportation services.(2) A link on the home page of the broker's Internet web site titled "File a Complaint Here" that is accessible by the public and that allows for the submission of a complaint concerning the nonemergency medical transportation services.(3) Instructions on the broker's Internet web site on how to file a complaint concerning nonemergency medical transportation services.(4) A process to notify a person who files a complaint about:(A) the steps the broker will take to investigate the complaint; and(B) the results of the investigation.(b) Except for disclosure to the office of the secretary, the broker shall keep confidential the identity of any individual who submits a complaint with the broker concerning nonemergency medical transportation services.(c) If a complaint concerning nonemergency medical transportation services made to the broker is substantiated, the broker shall develop a remediation plan concerning the complaint and submit the remediation plan to the office of the secretary for the office of the secretary to post the remediation plan on the office of the secretary's Internet web site.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-6. Report on Claims

Sec. 6. (a) Before October 1, 2019, the office of the secretary shall prepare a report containing the number of Medicaid fee-for-service nonemergency medical transportation claims paid by:(1) vehicle type;(2) Medicaid recipient category; and(3) whether the recipient for which the claim was paid resided in:(A) the community;(B) a health facility;(C) an intermediate care facility for individuals with intellectual disabilities;(D) a hospital; or(E) another location.(b) Beginning June 1, 2016, through May 31, 2019, the claims data reported in subsection (a) must be organized by month.(c) The office of the secretary shall submit the report prepared under subsection (a) to the commission.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-8. Commission Member per Diem and Travel

Sec. 8. (a) Each member of the commission who is not a state employee is entitled to the minimum salary per diem provided by IC 4-10-11-2.1(b). Such a member is also entitled to reimbursement for traveling expenses and other expenses actually incurred in connection with the member's duties, as provided in the state travel policies and procedures established by the Indiana department of administration and approved by the budget agency.(b) Each member of the commission who is a state employee but who is not a member of the general assembly is entitled to reimbursement for traveling expenses and other expenses actually incurred in connection with the member's duties, as provided in the state travel policies and procedures established by the Indiana department of administration and approved by the budget agency.(c) Each member of the commission who is a member of the general assembly is entitled to receive the same per diem, mileage, and travel allowances paid to legislative members of interim study committees established by the legislative council. Per diem, mileage, and travel allowances paid under this subsection shall be paid from appropriations made to the legislative council or the legislative services agency.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-30.5-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 30.5. Nonemergency Medical Transportation|12-15-30.5-9. Meetings

Sec. 9. The commission shall meet at least two (2) times per year at a public meeting to do the following:(1) Review a report submitted under this chapter.(2) Provide feedback and make recommendations to the office of the secretary concerning the provision of nonemergency medical transportation services.(3) Approve any monies to be awarded to a broker as part of a withhold provision outlined in the contract between the office of the secretary and the broker.As added by P.L.116-2019, SEC.4.
IN Code § 12-15-31.1-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 31.1. Adjustment of Pharmacy Dispensing Fees|12-15-31.1-1. Dispensing Fee Surveys

Sec. 1. At least once every two (2) years, the office shall conduct a survey of pharmacy providers to assess the appropriate level of dispensing fees to be paid to providers for prescribed drugs.As added by P.L.15-2002, SEC.1.
IN Code § 12-15-31.1-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 31.1. Adjustment of Pharmacy Dispensing Fees|12-15-31.1-2. Evaluation of Other Dispensing Fees

Sec. 2. A survey under section 1 of this chapter must include an evaluation of dispensing fees in other states and the policies of the federal Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration).As added by P.L.15-2002, SEC.1.
IN Code § 12-15-31.1-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 31.1. Adjustment of Pharmacy Dispensing Fees|12-15-31.1-3. Dispensing Fee Criteria

Sec. 3. A dispensing fee shall be evaluated based upon the following information concerning the costs of pharmacy operation:(1) Operational data.(2) Professional services data.(3) Overhead data.(4) Profit data.As added by P.L.15-2002, SEC.1.
IN Code § 12-15-31.1-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 31.1. Adjustment of Pharmacy Dispensing Fees|12-15-31.1-4. Adjustment of Dispensing Fees

Sec. 4. If an adjustment in dispensing fees is made following a survey conducted under section 1 of this chapter, the secretary shall commence the rulemaking process under IC 4-22-2 to make the adjustment not later than November 1 of the year in which the survey was conducted.As added by P.L.15-2002, SEC.1.
IN Code § 12-15-32-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-1. "Facility"

Sec. 1. As used in this chapter, "facility" means a facility licensed under IC 12-28-5 and certified under Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) as an intermediate care facility for individuals with intellectual disabilities.[Pre-1992 Revision Citation: 12-1-7.3-1 part.]As added by P.L.2-1992, SEC.9. Amended by P.L.35-2016, SEC.42.
IN Code § 12-15-32-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-2. Reimbursement; Voiding of Administrative Rule

Sec. 2. (a) The office shall reimburse community residential facilities for the developmentally disabled for the cost of the Medicaid services that are provided by the facility to individuals who are eligible for Medicaid.(b) 405 IAC 1-12-27 is void.[Pre-1992 Revision Citation: 12-1-7.3-2(a).]As added by P.L.2-1992, SEC.9. Amended by P.L.213-2015, SEC.129; P.L.12-2016, SEC.10.
IN Code § 12-15-32-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-4. Reimbursement Rate Criteria; Necessary Factors

Sec. 4. The criteria for reimbursement under this chapter must include the following:(1) The method of determining initial rates of reimbursement.(2) The method of determining the maximum rate of reimbursement.(3) The frequency of rate reviews.(4) The method of depreciating the buildings comprising the facilities.(5) The establishment of a maximum depreciation expense.(6) The inclusion of first aid supplies as a part of the room charge.(7) The establishment of maximum costs of equipment purchases or repairs that may be allowed as depreciation expenses.(8) The establishment of limitations on allowable interest expenses.(9) The establishment of a limit on the duration of financing.[Pre-1992 Revision Citation: 12-1-7.3-2(b) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.78-1994, SEC.3.
IN Code § 12-15-32-4.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-4.5. Reimbursement for Staff Hours of Employees

Sec. 4.5. (a) This section applies to a community residential facility for the developmentally disabled licensed as a child rearing residence that:(1) is a home exclusively for children;(2) has a behavior management program staffed by:(A) a behavior management consultant; or(B) personnel;to develop and monitor behavioral training, developmental training, and support in specific areas for all residents who function on a similar level; and(3) does not have more than six (6) beds.(b) A community residential facility for the developmentally disabled is entitled to Medicaid reimbursement within available appropriations for staff hours of employees:(1) hired to work at least two thousand eighty (2,080) paid staff hours per year per employee; and(2) when the reimbursement requested is for not more than twelve (12) staff hours per resident per day.As added by P.L.255-1996, SEC.7.
IN Code § 12-15-32-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-5. Special Interim Rates

Sec. 5. The office may establish a special interim rate for each community residential facility to ensure that the reasonable special costs involved in the initial year of operation of a facility are reimbursed.[Pre-1992 Revision Citation: 12-1-7.3-3.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-32-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-6. Facility Residents; Personal Allowance; Range of Amounts

Sec. 6. The office shall allow a resident of a facility who is receiving Medicaid to retain a personal allowance of fifty-two dollars ($52) each month.[Pre-1992 Revision Citation: 12-1-7.3-4(a).]As added by P.L.2-1992, SEC.9. Amended by P.L.294-2001, SEC.5.
IN Code § 12-15-32-6.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-6.5. Payment Calculation for Federal Ssi Recipient; Exemption From Income Eligibility Consideration

Sec. 6.5. (a) If a resident of a facility:(1) is a recipient of assistance under the federal Supplemental Security Income (SSI) program; and(2) receives an income that is less than the amount described in section 6 of this chapter;the office shall pay to the individual an amount equal to the difference between the amount of the monthly personal allowance described in section 6 of this chapter and the amount of income, including assistance under the federal Supplemental Security Income (SSI) program received by the individual.(b) Money paid to an individual under subsection (a) is exempt from income eligibility consideration.As added by P.L.294-2001, SEC.6. Amended by P.L.26-2003, SEC.2.
IN Code § 12-15-32-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-7. Rules; Functioning Level of Resident; Personal Allowance

Sec. 7. The secretary may adopt rules under IC 4-22-2 to do the following:(1) Establish criteria based on the functioning level of the residents.(2) Determine the personal allowance to which each resident is entitled.[Pre-1992 Revision Citation: 12-1-7.3-4(b).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-32-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-8. Personal Allowance; Income Eligibility Consideration; Exemption

Sec. 8. A personal allowance is exempt from income eligibility consideration by the office.[Pre-1992 Revision Citation: 12-1-7.3-4(c).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-32-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-9. Personal Allowance; Individuals Employed as Part of Habilitation Plan or Working in Sheltered Workshop or Day Activity Center

Sec. 9. The personal allowance for one (1) month for an individual described in section 6 of this chapter whose employment is part of the individual's habilitation plan or who is working in a sheltered workshop or day activity center is the amount that a person would be entitled to retain under section 6 of this chapter plus an amount equal to one-half (1/2) of the remainder of:(1) gross earned income for that month; minus(2) the sum of:(A) sixteen dollars ($16); plus(B) the amount withheld from the individual's paycheck for that month for payment of state income tax, federal income tax, and the tax prescribed by the Federal Insurance Contribution Act (26 U.S.C. 3101 et seq.); plus(C) transportation expenses for that month.[Pre-1992 Revision Citation: 12-1-7.3-4.5.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-32-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-10. Placement in Facility; Diagnostic Evaluations

Sec. 10. (a) An applicant for Medicaid who desires to be placed in a community residential facility must first receive a diagnostic evaluation to be provided by the division of disability and rehabilitative services.(b) Subsequent diagnostic evaluations by the division of disability and rehabilitative services shall be provided at least every twelve (12) months to review the individual's need for services.(c) The office shall consider the evaluations in determining the appropriateness of placement.[Pre-1992 Revision Citation: 12-1-7.3-5.]As added by P.L.2-1992, SEC.9. Amended by P.L.4-1993, SEC.118; P.L.5-1993, SEC.131; P.L.141-2006, SEC.55.
IN Code § 12-15-32-11 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 32. Community Residential Facilities for the Developmentally Disabled|12-15-32-11. Assessment Upon Total Annual Revenue of Certain Nonstate Facilities; Medicaid Assessment Account; Unavailability of Federal Matching Funds

Sec. 11. (a) The office may assess community residential facilities for the developmentally disabled (as defined in IC 12-7-2-61) and intermediate care facilities for individuals with intellectual disabilities (ICF/IID) (as defined in IC 16-29-4-2) that are not operated by the state in an amount not to exceed ten percent (10%) of the total annual revenue of the facility for the facility's preceding fiscal year.(b) The assessments shall be paid to the office of Medicaid policy and planning in equal monthly amounts on or before the tenth day of each calendar month. The office may withhold Medicaid payments to a provider described in subsection (a) that fails to pay an assessment within thirty (30) days after the due date. The amount withheld may not exceed the amount of the assessments due.(c) Revenue from the assessments shall be credited to a special account within the state general fund to be called the Medicaid assessment account. Money in the account may be used only for services for which federal financial participation under Medicaid is available to match state funds. An amount equivalent to the federal financial participation estimated to be received for services financed from assessments under subsection (a) shall be used to finance Medicaid services provided by facilities described in subsection (a).(d) If federal financial participation to match the assessments in subsection (a) becomes unavailable under federal law, the authority to impose the assessments terminates on the date that the federal statutory, regulatory, or interpretive change takes effect.As added by P.L.27-1992, SEC.26. Amended by P.L.2-1993, SEC.102; P.L.291-2001, SEC.216; P.L.6-2002, SEC.6; P.L.35-2016, SEC.43.
IN Code § 12-15-33-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-1. Committee Defined

Sec. 1. As used in this chapter, "committee" refers to the Medicaid advisory committee created by this chapter.[1992 Revision Citation: New.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-33-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-2. Committee Created

Sec. 2. The Medicaid advisory committee is created to act in an advisory capacity to the following:(1) The office in the administration of the Medicaid program.(2) The children's health policy board established by IC 4-23-27-2 in the board's responsibility to direct policy coordination of children's health programs.[Pre-1992 Revision Citation: 12-1-13-1(a).]As added by P.L.2-1992, SEC.9. Amended by P.L.273-1999, SEC.175.