reglab/housing_qa huggingface dataset:
IN Code § 12-16-6.5-1.2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-1.2. Appeal; Notice

Sec. 1.2. (a) If the division determines that an item or service identified in a claim:(1) was not necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(2) was not a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);the affected person or provider may appeal to the division not later than ninety (90) days after the mailing of the notice of that determination to the affected person or provider to the last known address of the person or provider.(b) If the division determines that an item or service identified in a claim:(1) was necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(2) was a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);but the affected provider disagrees with the amount of the claim calculated by the division under IC 12-16-5.5-1.2(b), the affected provider may appeal the calculation to the division not later than ninety (90) days after the mailing of the notice of that calculation to the affected provider to the last known address of the provider.As added by P.L.145-2005, SEC.18. Amended by P.L.212-2007, SEC.23; P.L.218-2007, SEC.34.
IN Code § 12-16-6.5-1.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-1.5. Patient Eligibility Determination

Sec. 1.5. Subject to IC 12-16-5.5-3(c), if the division fails to complete an investigation and determination of a person's eligibility for the hospital care for the indigent program not later than forty-five (45) days after receipt of the application filed under IC 12-16-4.5, the person is considered to be eligible without the division's determination of assistance under the program.As added by P.L.145-2005, SEC.19.
IN Code § 12-16-6.5-1.7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-1.7. Item or Service Eligibility Determination

Sec. 1.7. Subject to IC 12-16-5.5-3.2(c), if the division fails to complete an investigation and determination of one (1) or more health care items or services identified in a claim within forty-five (45) days after receipt of the claim filed under IC 12-16-4.5, the item or service is considered to have been:(1) necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(2) a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).As added by P.L.145-2005, SEC.20.
IN Code § 12-16-6.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-3. Hearing

Sec. 3. The division shall fix a time and place for a hearing before a hearing officer appointed by the director of the division.As added by P.L.120-2002, SEC.22.
IN Code § 12-16-6.5-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-4. Notice of Hearing

Sec. 4. A notice of the hearing shall be served upon all persons interested in the matter, including any affected provider, at least twenty (20) days before the time fixed for the hearing.As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.33; P.L.212-2007, SEC.24; P.L.218-2007, SEC.35.
IN Code § 12-16-6.5-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-5. Determination of Eligibility for Assistance and Health Care Items or Services; Entitled to Assistance

Sec. 5. (a) If the division receives an application that was filed on behalf of a person under IC 12-16-4.5, the division shall determine:(1) the eligibility of the person for assistance under the hospital care for the indigent program; and(2) if the health care items or services provided to the person and identified in a claim filed with the division under IC 12-16-4.5 were:(A) necessitated by at least one (1) medical condition listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(B) the direct consequence of at least one (1) of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).(b) If:(1) the person, initially or upon appeal, is found eligible for assistance; and(2) at least one (1) of the items or services identified in the claim is determined initially or upon appeal:(A) to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(B) to be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3);the person is entitled to assistance for those items and services.As added by P.L.120-2002, SEC.22. Amended by P.L.255-2003, SEC.34; P.L.145-2005, SEC.21.
IN Code § 12-16-6.5-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-6. Appeal

Sec. 6. A person, hospital, physician, or transportation provider aggrieved by a determination of an appeal taken under section 1 or 1.2 of this chapter may appeal the determination under IC 4-21.5.As added by P.L.120-2002, SEC.22. Amended by P.L.145-2005, SEC.22.
IN Code § 12-16-6.5-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 6.5. Hospital Care for the Indigent; Denial of Eligibility; Appeals; Judicial Review|12-16-6.5-7. Rules; Administrative Appeal Procedure; Provisions

Sec. 7. (a) The division shall adopt rules under IC 4-22-2 that provide for an administrative appeal procedure that is responsive to the needs of patients and providers.(b) The procedure must provide for the following:(1) The location of hearings.(2) The presentation of evidence.(3) The use of telecommunications.As added by P.L.120-2002, SEC.22.
IN Code § 12-16-7.5-1.2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-1.2. Eligible Patient Not Financially Obligated; Payment

Sec. 1.2. (a) A person determined to be eligible under the hospital care for the indigent program is not financially obligated for services provided to the person during the person's eligibility under the program, if the items or services were:(1) identified in a claim filed with the division under IC 12-16-4.5; and(2) determined:(A) to have been necessitated by one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3) or IC 12-16-3.5-2(a)(1) through IC 12-16-3.5-2(a)(3); or(B) to be a direct consequence of one (1) or more of the medical conditions listed in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3).(b) Hospitals may receive a payment from the office calculated and made under IC 12-15-15-9 and, if applicable, IC 12-15-15-9.5. Hospitals shall not file claims for payments under IC 12-15-15-9 and IC 12-15-15-9.5 for payments attributable to state fiscal years beginning after June 30, 2007.(c) Based on a physician's services identified in a claim under subsection (a), the physician may receive a payment from the division calculated and made under section 5 of this chapter.(d) Based on the transportation services identified in a claim under subsection (a), the transportation provider may receive a payment from the division calculated and made under section 5 of this chapter.As added by P.L.145-2005, SEC.23. Amended by P.L.212-2007, SEC.25; P.L.218-2007, SEC.36.
IN Code § 12-16-7.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-3. Warrant on Fund; Payment

Sec. 3. (a) A payment made to a physician or a transportation provider under this chapter must be on a warrant drawn on the state hospital care for the indigent fund established by IC 12-16-14.(b) A payment made to a hospital under this chapter shall be made under IC 12-15-15-9 and IC 12-15-15-9.5.As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.37.
IN Code § 12-16-7.5-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-5. Pro Rata Payments to Physicians and Transportation Providers; Limitation

Sec. 5. Before December 15 following the end of each state fiscal year, the division shall, from the amounts combined from the counties' hospital care for the indigent funds and retained under section 4.5(b) or 4.5(c) of this chapter, pay each physician and transportation provider a pro rata part of that amount. The total payments available under this section may not exceed three million dollars ($3,000,000).As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.39; P.L.212-2007, SEC.28; P.L.218-2007, SEC.39.
IN Code § 12-16-7.5-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-7. Responsibility for the Payment of Hospital Care; Limitations

Sec. 7. The division is not responsible under the hospital care for the indigent program for the payment of any part of the costs of providing care in a hospital to an individual who is not either of the following:(1) A citizen of the United States.(2) A lawfully admitted alien.As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.40.
IN Code § 12-16-7.5-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-8. No Liability for Cost of Care Provided to Patient Described in Specified Rules

Sec. 8. The division is not liable for any part of the cost of care provided to an individual who has been determined to be a patient described in the rules adopted under IC 12-16-10.5.As added by P.L.120-2002, SEC.23. Amended by P.L.255-2003, SEC.41.
IN Code § 12-16-7.5-12 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 7.5. Hospital Care for the Indigent; Cost of Care and Payment|12-16-7.5-12. Agreement to Accept Payment as Payment in Full

Sec. 12. All providers receiving payment under section 1.2 of this chapter agree to accept, as payment in full, the payment referred to in section 1.2 of this chapter for the health care items or services identified in payable claims submitted to the division.As added by P.L.120-2002, SEC.23. Amended by P.L.145-2005, SEC.25.
IN Code § 12-16-9.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 9.5. Hospital Care for the Indigent; Rate of Payment|12-16-9.5-1. Rate of Payment for Services and Materials Same as Rates Under Medicaid

Sec. 1. Notwithstanding any other provision of this article, the rate of payment for the services and materials provided by physicians and transportation providers under the hospital care for the indigent program is the same rate as payment for the same type of services and materials under the rules adopted by the office for the fee-for-service Medicaid program.As added by P.L.120-2002, SEC.25. Amended by P.L.255-2003, SEC.42.
IN Code § 12-16-10.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 10.5. Hospital Care for the Indigent; Rules|12-16-10.5-1. Adopting Rules; Requisites

Sec. 1. The division shall, with the advice of the division's medical staff, the division of mental health and addiction, the division of aging, the division of disability and rehabilitative services, and other individuals selected by the director of the division, adopt rules under IC 4-22-2 to do the following:(1) Provide for review and approval of services paid under the hospital care for the indigent program.(2) Establish limitations consistent with medical necessity on the duration of services to be provided.(3) Specify the amount of and method for reimbursement for services.(4) Specify the conditions under which payments will be denied and improper payments will be recovered.As added by P.L.120-2002, SEC.26. Amended by P.L.141-2006, SEC.58.
IN Code § 12-16-10.5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 10.5. Hospital Care for the Indigent; Rules|12-16-10.5-2. Consistency of Adopted Rules With Other Medicaid Rules

Sec. 2. To the extent possible, rules adopted under section 1 of this chapter must be consistent with IC 12-15-21-2 and IC 12-15-21-3.As added by P.L.120-2002, SEC.26.
IN Code § 12-16-10.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 10.5. Hospital Care for the Indigent; Rules|12-16-10.5-3. Rules Denying Payment for Services to Medically Stable and Safely Discharged Patients

Sec. 3. The rules adopted under section 1 of this chapter must include rules that will deny payment for services provided to a patient after the patient is medically stable and can safely be discharged.As added by P.L.120-2002, SEC.26.
IN Code § 12-16-10.5-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 10.5. Hospital Care for the Indigent; Rules|12-16-10.5-4. Statewide Data Collection System; Requirements; Filing Copies of Submitted Claims

Sec. 4. (a) The division shall adopt rules under IC 4-22-2 necessary to establish a statewide collection system of data concerning the hospital care for the indigent program.(b) The following data must be collected:(1) Patient demographics.(2) Types of services provided by hospitals.(3) Costs of particular types of services provided by hospitals.(c) A hospital that provides services under the hospital care for the indigent program shall file copies of all claims submitted under the program with the contractor engaged by the division to adjudicate claims.As added by P.L.120-2002, SEC.26.
IN Code § 12-16-10.5-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 10.5. Hospital Care for the Indigent; Rules|12-16-10.5-5. Rules for Appeals; Consistency With Other Rules

Sec. 5. The division may adopt rules under IC 4-22-2 that are in addition to and consistent with the rules required to be adopted under IC 12-16-6.5 governing appeals brought under the hospital care for the indigent program to the division.As added by P.L.120-2002, SEC.26.
IN Code § 12-16-13.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 13.5. Hospital Care for the Indigent; Immunity|12-16-13.5-1. Limited Immunity From Liability

Sec. 1. A hospital, a physician, or an agent or employee of a hospital or physician that provides services in good faith under the hospital care for the indigent program is immune from liability to the extent the liability is attributable to at least one (1) of the following:(1) The requirement that a patient be transferred under IC 12-16-12.5 (repealed).(2) The denial of payment under IC 12-16-10.5.As added by P.L.120-2002, SEC.29. Amended by P.L.156-2020, SEC.57.
IN Code § 12-16-13.5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 13.5. Hospital Care for the Indigent; Immunity|12-16-13.5-2. Liability Not Limited for Determination That Patient's Medical Condition Permits Transfer

Sec. 2. Section 1(1) of this chapter does not limit liability for the determination that the patient's medical condition permits a transfer under IC 12-16-12.5 (repealed).As added by P.L.120-2002, SEC.29. Amended by P.L.156-2020, SEC.58.
IN Code § 12-16-14-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds|12-16-14-6. State Hospital Care for the Indigent Fund

Sec. 6. The state hospital care for the indigent fund is established.[Pre-1992 Revision Citation: 12-5-6-16(h) part.]As added by P.L.2-1992, SEC.10. Amended by P.L.146-2008, SEC.389.
IN Code § 12-16-14-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds|12-16-14-7. State Fund Components

Sec. 7. The state hospital care for the indigent fund includes the following:(1) The money transferred to the state hospital care for the indigent fund from a county.(2) Any contributions to the fund from individuals, corporations, foundations, or others for the purpose of providing hospital care for the indigent.(3) The appropriations made to the fund by the general assembly.[Pre-1992 Revision Citation: 12-5-6-16(h) part.]As added by P.L.2-1992, SEC.10. Amended by P.L.146-2008, SEC.390.
IN Code § 12-16-14-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds|12-16-14-8. Administration and Use of State Fund

Sec. 8. The division shall administer the state hospital care for the indigent fund and shall use the money currently in the fund to defray the expenses and obligations incurred by the division for hospital care for the indigent. The money in the fund is hereby appropriated.[Pre-1992 Revision Citation: 12-5-6-16(h) part.]As added by P.L.2-1992, SEC.10. Amended by P.L.126-1998, SEC.19.
IN Code § 12-16-14-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 14. Hospital Care for the Indigent; Property Tax Levy and Funds|12-16-14-9. Reversion of State Fund

Sec. 9. Money in the state hospital care for the indigent fund at the end of a state fiscal year remains in the fund and does not revert to the state general fund.[Pre-1992 Revision Citation: 12-5-6-16(h) part.]As added by P.L.2-1992, SEC.10.
IN Code § 12-16-16.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 16.5. Hospital Care for the Indigent; Review of Medical Criteria|12-16-16.5-1. Review by Division of Changes in Medical Criteria Used in Determining Eligibility

Sec. 1. The division shall review changes made after 1985 in the medical criteria used to establish whether a patient is eligible for assistance under IC 12-16-3.5.As added by P.L.120-2002, SEC.39.
IN Code § 12-16-16.5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 16.5. Hospital Care for the Indigent; Review of Medical Criteria|12-16-16.5-2. Review; Requisites

Sec. 2. The division's review under this chapter must include the application of the criteria to specific cases and address whether changes to or clarification of the criteria is necessary so that, in practice, the criteria is consistent with the hospital care for the indigent program.As added by P.L.120-2002, SEC.39.
IN Code § 12-16-16.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 16.5. Hospital Care for the Indigent; Review of Medical Criteria|12-16-16.5-3. Report

Sec. 3. The division shall provide to an interested party a report of the division's review, including the division's findings, conclusions, and recommendations.As added by P.L.120-2002, SEC.39.
IN Code § 12-16-17-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 17. Health and Hospital Corporation of Marion County|12-16-17-1. Annual Transfer

Sec. 1. The office of the secretary of family and social services shall annually transfer thirty-eight million dollars ($38,000,000) to a hospital corporation established under IC 16-22-8 from the state general fund for the purposes of the hospital corporation.As added by P.L.146-2008, SEC.391. Amended by P.L.165-2021, SEC.141.
IN Code § 12-16-17-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 17. Health and Hospital Corporation of Marion County|12-16-17-2. Annual Transfer Made in Four Equal Installments

Sec. 2. A transfer required in a calendar year under section 1 of this chapter shall be made in four (4) equal installments before April 30, July 31, September 30, and December 31.As added by P.L.146-2008, SEC.391.
IN Code § 12-16-17-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16. Payment for Health Services Other Than Medicaid|Chapter 17. Health and Hospital Corporation of Marion County|12-16-17-3. Reduction in Maximum Permissible Property Tax Levy

Sec. 3. The maximum permissible property tax levy that a hospital corporation established under IC 16-22-8 would otherwise be permitted to impose under IC 6-1.1-18.5-3 shall be reduced by thirty-five million dollars ($35,000,000) in a calendar year in which section 1 of this chapter provides for a transfer.As added by P.L.146-2008, SEC.391.
IN Code § 12-16.5-1-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16.5. The Health Care Compact|Chapter 1. Definitions|12-16.5-1-1. "Commission"

Sec. 1. As used in this article, "commission" refers to the interstate advisory health care commission established by IC 12-16.5-4-1.As added by P.L.150-2012, SEC.1.
IN Code § 12-16.5-1-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16.5. The Health Care Compact|Chapter 1. Definitions|12-16.5-1-2. "Compact"

Sec. 2. As used in this article, "compact" refers to the health care compact entered into under this article.As added by P.L.150-2012, SEC.1.
IN Code § 12-16.5-1-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 16.5. The Health Care Compact|Chapter 1. Definitions|12-16.5-1-3. "Current Year Inflation Adjustment Factor"

Sec. 3. As used in this article, "current year inflation adjustment factor" means the total gross domestic product deflator, as determined by the United States Department of Commerce's Bureau of Economic Analysis, in the current year divided by the total gross domestic product deflator in federal fiscal year 2010.As added by P.L.150-2012, SEC.1.