reglab/housing_qa huggingface dataset:
IN Code § 12-15-5-14 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-14. Reimbursement for Services Provided by Advanced Practice Registered Nurse; Eligible Provider

Sec. 14. (a) As used in this section, "advanced practice registered nurse" means:(1) a nurse practitioner; or(2) a clinical nurse specialist;who is a registered nurse licensed under IC 25-23 and qualified to practice nursing in a specialty role based upon the additional knowledge and skill gained through a formal organized program of study and clinical experience, or the equivalent as determined by the Indiana state board of nursing.(b) As used in this section, "office" includes the following:(1) The office of the secretary of family and social services.(2) A managed care organization that has contracted with the office of Medicaid policy and planning under this article.(3) A person that has contracted with a managed care organization described in subdivision (2).(c) The office shall reimburse eligible Medicaid claims for the following services provided by an advanced practice registered nurse employed by a community mental health center if the services are part of the advanced practice registered nurse's scope of practice:(1) Mental health services.(2) Behavioral health services.(3) Substance abuse treatment.(4) Primary care services.(5) Evaluation and management services for inpatient or outpatient psychiatric treatment.(6) Prescription drugs.(d) The office shall include an advanced practice registered nurse as an eligible provider for the supervision of a plan of treatment for a patient's outpatient mental health or substance abuse treatment services, if the supervision is in the advanced practice registered nurse's scope of practice, education, and training.(e) This section:(1) may not be construed to expand an advanced practice registered nurse's scope of practice; and(2) is subject to IC 25-23-1-19.4(c) and applies only if the service is included in the advanced practice registered nurse's practice agreement with a collaborating physician.As added by P.L.87-2016, SEC.4. Amended by P.L.85-2017, SEC.58; P.L.129-2018, SEC.5.
IN Code § 12-15-5-14.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-14.5. Eligible Providers for Supervising Treatment Plan

Sec. 14.5. (a) The office shall include a:(1) licensed clinical social worker;(2) licensed mental health counselor;(3) licensed clinical addiction counselor; and(4) licensed marriage and family therapist;as eligible providers for the supervision of a plan of treatment for a patient's outpatient mental health or substance abuse treatment services, if the individual holds at least a master's degree and the supervision is in the scope of practice, education, and training of the clinical social worker, mental health counselor, clinical addiction counselor, or marriage and family therapist.(b) Before July 1, 2020, the office shall apply to the United States Department of Health and Human Services to amend the state Medicaid plan to implement subsection (a).As added by P.L.128-2019, SEC.1. Amended by P.L.103-2020, SEC.1.
IN Code § 12-15-5-15 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-15. Reimbursement for Students; Conditions; Policies

Sec. 15. (a) This section is effective upon approval by the federal government of the office's Medicaid state plan amendment to implement the requirements of this section. The office shall submit the Medicaid state plan amendment not later than December 1, 2016.(b) As used in this section, "office" includes the following:(1) The office of the secretary of family and social services.(2) A managed care organization that has contracted with the office of Medicaid policy and planning under this article.(3) A person that has contracted with a managed care organization described in subdivision (2).(c) The office shall authorize Medicaid reimbursement for eligible Medicaid services provided by a student if:(1) the student is currently enrolled in a graduate or postgraduate degree level:(A) medical;(B) nursing;(C) mental health;(D) behavioral health; or(E) addiction treatment;accredited college or university program;(2) the student has been approved by the college or university to work as an intern or practicum student at a community mental health center under the direct supervision of a licensed professional who holds a master's degree or doctoral level degree related to the area of study; and(3) the services being provided by the student are within the scope of practice of the supervising practitioner.(d) Medicaid claims for eligible Medicaid services provided under this section must be submitted by the supervising practitioner. Only one (1) Medicaid claim may be submitted per episode of care.(e) A community mental health center that allows intern and practicum students to provide services under this section shall have a policy and procedure for the intern and practicum students to receive supervision and a method for documenting the supervision provided.As added by P.L.87-2016, SEC.5. Amended by P.L.85-2017, SEC.59.
IN Code § 12-15-5-16 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-16. Reimbursement for Clinical Addiction Counselors; Clinical Supervision Requirement

Sec. 16. (a) This section is effective upon approval by the federal government of the office's Medicaid state plan amendment to implement the requirements of this section. The office shall submit the Medicaid state plan amendment not later than December 1, 2016.(b) As used in this section, "office" includes the following:(1) The office of the secretary of family and social services.(2) A managed care organization that has contracted with the office of Medicaid policy and planning under this article.(3) A person that has contracted with a managed care organization described in subdivision (2).(c) The office shall reimburse a clinical addiction counselor licensed under IC 25-23.6 for an eligible Medicaid behavioral health or addictions service that is within the counselor's scope of practice if the clinical addiction counselor is under the clinical supervision of a physician or health service provider in psychology.As added by P.L.87-2016, SEC.6.
IN Code § 12-15-5-18 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-18. Emergency Medical Service Provider Agencies; Reimbursement; Federal Approval

Sec. 18. (a) This section applies to an emergency medical services provider agency that meets the following requirements:(1) Is requesting reimbursement for services provided as part of a mobile integrated healthcare program that has been approved by the emergency medical services commission under IC 16-31-12.(2) Is a Medicaid provider.(b) The office of the secretary may reimburse an emergency medical services provider agency that is a Medicaid provider under this article for Medicaid covered services provided to a Medicaid recipient.(c) The office of the secretary may apply to the United States Department of Health and Human Services for any amendment to the state Medicaid plan or for any Medicaid waiver necessary to implement this section.As added by P.L.100-2019, SEC.1.
IN Code § 12-15-5-18.2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-18.2. Mobile Integrated Healthcare Program; Authority to Apply for a Waiver and for Federal Funding

Sec. 18.2. The office of the secretary may apply to the United States Department of Health and Human Services for the following concerning the mobile integrated healthcare program:(1) A waiver to implement the program.(2) Federal funding through Section 9813 of the American Rescue Plan Act of 2021 (P.L. 117-2) for the programs set forth in IC 16-31-12.However, if federal funding ceases to be available, then no additional state funding for the mobile integrated healthcare program shall be allocated to the program after that date.As added by P.L.165-2021, SEC.139.
IN Code § 12-15-5-18.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-18.5. Reimbursement for Emergency Medical Services

Sec. 18.5. (a) 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 as an advanced life support provider organization under rules adopted under IC 16-31-3.(2) Is a Medicaid provider.(b) The office of the secretary shall provide reimbursement for Medicaid covered services provided to a Medicaid recipient that are:(1) rendered by an emergency medical services provider organization that is a Medicaid provider;(2) within the emergency medical services provider organization's scope of practice;(3) performed or provided as advanced life support services; and(4) performed or provided during a response initiated through the 911 system, regardless of whether the patient is transported.(c) If multiple emergency medical services provider organizations qualify and submit a claim for reimbursement under this section, the office of the secretary:(1) may reimburse under this section only for one (1) claim per patient encounter; and(2) shall reimburse the claim submitted by the emergency medical services provider organization that performed or provided the majority of advanced life support services.(d) The office of the secretary may apply to the United States Department of Health and Human Services for any amendment to the state Medicaid plan or for any Medicaid waiver necessary to implement this section.As added by P.L.115-2020, SEC.3.
IN Code § 12-15-5-19 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-19. Medicaid Rehabilitation Option Service; Review; Determination on Services; Report; Notification; Contract With Community Mental Health Center

Sec. 19. (a) Not later than one (1) year from the date the office receives approval for the state plan amendment described in IC 12-15-1.3-21 concerning Medicaid rehabilitation option services, the office shall do the following:(1) Review the current services included in the Medicaid rehabilitation option services program in the school setting.(2) Determine whether additional appropriate services, including:(A) family engagement services; and(B) additional comprehensive behavioral health services, including addiction services;should be included as part of the program.(3) Report the office's findings under this subsection to the general assembly in an electronic format under IC 5-14-6.(b) Not later than three (3) months from the date the office receives approval for the state plan amendment described in IC 12-15-1.3-21 concerning Medicaid rehabilitation option services, the office shall notify each school corporation that the United States Department of Health and Human Services has approved the state plan amendment applied for under IC 12-15-1.3-21.(c) Each school corporation shall, not later than one (1) year from the date the office receives approval for the state plan amendment described in IC 12-15-1.3-21 concerning Medicaid rehabilitation option services, contract with a community mental health center to provide Medicaid rehabilitation option services for:(1) a student of the school corporation who is a Medicaid recipient; and(2) the student's family.As added by P.L.246-2019, SEC.3.
IN Code § 12-15-5-20 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-20. "Intensive Outpatient Treatment Program"

Sec. 20. (a) As used in this section, "intensive outpatient treatment program" means an organized treatment program that uses behavioral health professionals and clinicians in a group setting to provide multiple treatment service components for rehabilitation of alcohol and other substance use or dependency. The term includes services determined by the office and approved in the Medicaid state plan.(b) If the office requires a supervisor for addiction based intensive outpatient treatment under this article, the following supervisors who either have at least two (2) years of experience in addiction treatment or hold an addiction credential, as determined by the division, are eligible supervisors:(1) Licensed clinical social workers.(2) Licensed mental health counselors.(3) Licensed marriage and family therapists.(4) Licensed clinical addiction counselors.(c) The office may not require a direct service provider in an intensive outpatient treatment program to be a licensed addiction counselor or a licensed clinical addiction counselor. However, the direct service provider must, under the supervision of a clinician described in subsection (b), either:(1) hold an addiction credential, as determined by the division; or(2) have training and experience in addiction treatment, as determined by the division.As added by P.L.127-2020, SEC.1.
IN Code § 12-15-5-21 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-21. Community Mental Health Centers; Governmental Units

Sec. 21. For purposes of required nonfederal share medical assistance payments under Title XIX of the Social Security Act, a community mental health center is defined as a governmental unit.As added by P.L.127-2020, SEC.2.
IN Code § 12-15-6-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 6. Individual Contributions|12-15-6-1. Enrollment Fees, Premiums, or Other Charges as Condition of Eligibility

Sec. 1. Except as provided in section 2 of this chapter, and beginning July 1, 2002, except as provided in IC 12-15-41, an enrollment fee, a premium, or a similar charge may not be imposed as a condition of an individual's eligibility for Medicaid.[Pre-1992 Revision Citation: 12-1-7-16(c) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.287-2001, SEC.8.
IN Code § 12-15-6-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 6. Individual Contributions|12-15-6-2. Copayment; Application for Certain Services

Sec. 2. The office shall apply a copayment for certain types of Medicaid.[Pre-1992 Revision Citation: 12-1-7-16(c) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-6-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 6. Individual Contributions|12-15-6-3. Copayment; Time for Making

Sec. 3. (a) A copayment shall be made by the recipient of Medicaid upon receipt of assistance. If a recipient of Medicaid does not make the copayment, the office may not require the provider to collect the copayment. However, a provider may not voluntarily waive the copayment by the recipient under this section.(b) The office may adopt rules under IC 4-22-2 to prescribe that the copayment amount is not deducted from the reimbursement to the provider for services provided by the provider if a recipient of Medicaid does not make the copayment.[Pre-1992 Revision Citation: 12-1-7-16(c) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.114-1996, SEC.1.
IN Code § 12-15-6-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 6. Individual Contributions|12-15-6-4. Services to Which Copayment Applies; Exceptions

Sec. 4. A copayment applies to all services except the following:(1) Services furnished to individuals less than eighteen (18) years of age.(2) Services furnished to pregnant women if the services relate to the pregnancy or to any other medical condition that might complicate the pregnancy.(3) Emergency services as defined by regulations adopted by the Secretary of the United States Department of Health and Human Services.(4) Family planning services and supplies described in 42 U.S.C. 1396d(a)(4)(C).(5) Physical examinations to determine the need for medical services.[Pre-1992 Revision Citation: 12-1-7-16(c) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.210-2015, SEC.48.
IN Code § 12-15-6-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 6. Individual Contributions|12-15-6-5. Provider to Charge Maximum Copayment Allowable

Sec. 5. A provider shall charge the maximum copayment allowable under federal statute or regulation.[Pre-1992 Revision Citation: 12-1-7-16(c) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-7-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-1. Persons Entitled to Allowance; Receipt of Care in Hospital or Nursing Home; Amount of Allowance

Sec. 1. Subject to section 2 of this chapter, an individual eligible to receive Medicaid who is not living in the individual's own home but is receiving care in a:(1) hospital; or(2) nursing facility;may retain from the individual's income a personal allowance in an amount to be established by the office.[Pre-1992 Revision Citation: 12-1-7-21(b) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-7-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-2. Amount of Allowance; Permissible Range

Sec. 2. Fifty-two dollars ($52) monthly may be exempt from income eligibility consideration.[Pre-1992 Revision Citation: 12-1-7-21(b) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.272-1999, SEC.40; P.L.294-2001, SEC.3.
IN Code § 12-15-7-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-3. Use of Allowance

Sec. 3. The money described in section 2 of this chapter may be exclusively used by the recipient for the recipient's personal needs.[Pre-1992 Revision Citation: 12-1-7-21(b) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-7-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-4. Individuals Employed as Part of Habilitation Plan or Working in Sheltered Workshop or Day Activity Center; Amount of Allowance

Sec. 4. The personal allowance for one (1) month described in sections 1, 2, and 3 of this chapter for an individual whose employment is part of the recipient's individual 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 sections 1, 2, and 3 of this chapter plus an amount equal to one-half (1/2) of the remainder of:(1) gross earned income for the month; minus(2) the sum of:(A) sixteen dollars ($16);(B) the amount withheld from the recipient'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.); and(C) transportation expenses for the month.[Pre-1992 Revision Citation: 12-1-7-21(c) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-7-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-5. Retention of Amount Equal to Individual's State and Local Income Tax Liability; Monthly Limitation; Exemption From Income Eligibility Consideration; Use of Amount Retained

Sec. 5. (a) In addition to the amount that may be retained as a personal allowance under this chapter, an individual is allowed to retain an amount equal to the individual's state and local income tax liability.(b) The amount that may be retained during a month may not exceed one-third (1/3) of the individual's state and local income tax liability for the calendar quarter in which the month occurs. This amount is exempt from income eligibility consideration by the office.(c) The amount retained under this section must be used by the individual to pay any state or local income taxes owed.[Pre-1992 Revision Citation: 12-1-7-21(d).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-7-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 7. Personal Allowance|12-15-7-6. Payment Calculation for Federal Ssi Recipient; Exemption From Income Eligibility Consideration

Sec. 6. (a) If an individual described in section 1 of this chapter:(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 2 of this chapter;the office shall pay to the individual an amount equal to the difference between the amount of the monthly allowance described in section 2 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.4. Amended by P.L.26-2003, SEC.1.
IN Code § 12-15-8-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 8. Liens|12-15-8-1. Recipient Asserting Claim Against Another Person for Injury or Illness Resulting From Negligence or Act of Other Person; Lien Against Other Person; Amount of Lien

Sec. 1. Whenever:(1) the office pays medical expenses for or on behalf of a person who has been injured or has suffered an illness or a disease as a result of the negligence or act of another person; and(2) the injured or diseased person asserts a claim against the other person for damages resulting from the injury, illness, or disease;on any recovery under the claim, whether by judgment, compromise, or settlement, the office has a lien against the other person in the amount paid by the office to the extent of the other person's liability for the medical expenses.[Pre-1992 Revision Citation: 12-1-7-24.6(a).]As added by P.L.2-1992, SEC.9. Amended by P.L.245-1999, SEC.2.
IN Code § 12-15-8-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 8. Liens|12-15-8-2. Recipient Asserting Claim Against Insurer; Lien for Medical Expenses Paid or for Medical Services Rendered; Amount

Sec. 2. Whenever:(1) the office pays for medical expenses or renders medical services on behalf of a person who has been injured or has suffered an illness or a disease; and(2) the person asserts a claim against an insurer as a result of that person's injury, illness, or disease;the office has a lien against the insurer, to the extent of the amount paid by the office, on any recovery from the insurer.[Pre-1992 Revision Citation: 12-1-7-24.6(b).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-8-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 8. Liens|12-15-8-3. Perfection of Lien

Sec. 3. A lien under this chapter is not effective unless the office takes the following actions before the party alleged to be liable has concluded a final settlement with the injured, ill, or diseased person or the person's attorney or legal representative as compensation for the person's injury, illness, or disease:(1) Filing in the Marion County circuit court a written notice stating the following:(A) Notice of the eligibility of the injured, ill, or diseased person for Medicaid.(B) The name and address of the injured, ill, or diseased person.(C) The name of the person, firm, limited liability company, or corporation alleged to be liable to the injured, ill, or diseased person.(2) Sending to the person, firm, limited liability company, or corporation alleged to be liable, by registered or certified mail, a copy of the notice required by subdivision (1), with a statement of the date of filing of the notice.[Pre-1992 Revision Citation: 12-1-7-24.6(c).]As added by P.L.2-1992, SEC.9. Amended by P.L.8-1993, SEC.182.