reglab/housing_qa huggingface dataset:
IN Code § 12-15-3-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 3. Ineligibility; Financial Limitations|12-15-3-6. Purchase of Qualified Long Term Care Insurance Policy; Computation Under This Chapter

Sec. 6. A computation under this chapter concerning an individual who purchases a qualified long term care insurance policy under IC 12-15-39.6 must take into consideration the asset disregard established under IC 12-15-39.6-10.[Pre-1992 Revision Citation: 12-1-7-18.5(f).]As added by P.L.2-1992, SEC.9. Amended by P.L.24-1997, SEC.47; P.L.1-2006, SEC.187.
IN Code § 12-15-3-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 3. Ineligibility; Financial Limitations|12-15-3-7. Effect of Certain Applicants' Assignment of Life Insurance Benefits to State on Applicants' Medicaid Eligibility

Sec. 7. (a) As used in this section, "value" includes the following:(1) The face value of a life insurance policy.(2) The cash value of a life insurance policy.(b) The value of a life insurance policy that is in force and owned by an applicant or a recipient who is at least fifty-five (55) years of age or permanently institutionalized may not be considered as a resource in determining the applicant's or recipient's eligibility for Medicaid if the applicant or recipient:(1) makes an irrevocable election to name the state as a beneficiary of the life insurance policy for an amount that is not greater than:(A) Medicaid benefits provided to the recipient under IC 12-15-5 or IC 12-14-17; plus(B) premiums or expenses paid by the office to the insurer that issued the life insurance policy; or(2) collaterally assigned the life insurance policy to the state under a written agreement submitted to and recorded by the insurer that issued the life insurance policy.(c) Any designation of the state as an irrevocable beneficiary or any collateral assignment in favor of the state is void if the application for Medicaid benefits is not approved.As added by P.L.196-2011, SEC.7.
IN Code § 12-15-3-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 3. Ineligibility; Financial Limitations|12-15-3-8. 529 Education Savings Plan

Sec. 8. Except as otherwise provided under federal law, the money in an account (as defined in IC 21-9-2-2) of an education savings program (as defined in IC 21-9-2-11) may not be considered as a resource or asset in determining an applicant's or recipient's eligibility for Medicaid.As added by P.L.70-2017, SEC.3.
IN Code § 12-15-4-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-1. Applying for Medicaid; Enrollment Centers; Duties of Authorized Workers; Final Determination; Submitting Application

Sec. 1. (a) An application or a request for Medicaid for an individual must be made in the manner required by the office:(1) at enrollment centers specified by the office; or(2) through the United States mail, as described in subsection (h), if the individual has a developmental disability.(b) Enrollment centers:(1) shall be located at each county office; and(2) may be located at other locations including the following:(A) A hospital licensed under IC 16-21.(B) The office of a provider who is eligible to receive payments under this article.(C) A public or private elementary or secondary school.(D) A day care center licensed under IC 12-17.2.(E) The county health department.(F) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).(G) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).(c) An entity described in subsection (b) other than the county office must enter into an agreement with the office for authorization to serve as an enrollment center where individuals may apply for Medicaid.(d) One (1) or more authorized workers at each enrollment center may:(1) accept applications for Medicaid;(2) conduct interviews with applicants; and(3) accept applications for services under a Medicaid waiver by an individual who has a developmental disability;during hours and days of the week agreed upon by the office and the enrollment center.(e) The office shall provide each enrollment center with the materials and training needed by the enrollment center to comply with this section.(f) An enrollment center shall provide:(1) each application taken by the enrollment center; and(2) any accompanying materials;to the county office located in the same county as the enrollment center at least one (1) time each week by any reasonable means. Except as provided in subsection (g), the county office staff shall make the final determination of an applicant's eligibility for Medicaid.(g) The office shall make the final determination of eligibility of an individual who has a developmental disability to receive services under a Medicaid waiver.(h) An individual who has a developmental disability may submit to the office through the United States mail an application to receive services under a Medicaid waiver.(i) The office shall make available:(1) on the Internet;(2) at an enrollment center; and(3) through the United States mail;an application form for an individual who has a developmental disability to receive services under a Medicaid waiver.[Pre-1992 Revision Citation: 12-1-7-19 part.]As added by P.L.2-1992, SEC.9. Amended by P.L.4-1993, SEC.113; P.L.5-1993, SEC.126; P.L.58-1998, SEC.9; P.L.184-2003, SEC.6.
IN Code § 12-15-4-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-2. Tanf Assistance Recipients; Necessity of Making Medicaid Application

Sec. 2. An individual who is receiving monthly assistance payments in the TANF category is not required to make an application for Medicaid.[Pre-1992 Revision Citation: 12-1-7-19 part.]As added by P.L.2-1992, SEC.9. Amended by P.L.161-2007, SEC.37.
IN Code § 12-15-4-2.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-2.5. Department of Correction and Sheriff as Medicaid Authorized Representative

Sec. 2.5. (a) The department of correction is, for an inmate described in IC 11-10-3-7(b), the inmate's Medicaid authorized representative.(b) A sheriff who:(1) agrees to the requirements set forth in IC 36-2-13-19; and(2) applies for Medicaid for a person who:(A) is subject to lawful detention; and(B) is described in IC 36-2-13-19;is the inmate's Medicaid authorized representative.As added by P.L.185-2015, SEC.11.
IN Code § 12-15-4-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-3. Records of Applicants' Circumstances and Other Information

Sec. 3. Whenever the county office receives an application or a request for Medicaid, a record shall promptly be made of the following:(1) The circumstances of the applicant to ascertain the facts supporting the application or request made under the terms of the Medicaid program.(2) Other information required by the office.[Pre-1992 Revision Citation: 12-1-7-20.]As added by P.L.2-1992, SEC.9. Amended by P.L.4-1993, SEC.114; P.L.5-1993, SEC.127.
IN Code § 12-15-4-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-4. Grant of Assistance; Eligibility Requirements

Sec. 4. Medicaid shall be granted to an applicant who is eligible for assistance under IC 12-15-2 and who meets the following requirements:(1) Has made an application or a request for Medicaid in the manner required by the office or for whom an application or a request has been made.(2) Is a resident of Indiana, including a resident temporarily absent from Indiana, and minor children who are under the care, supervision, and control of a parent or other relative who is a resident of Indiana.(3) Has not made a transfer of property for the purpose of making the applicant eligible for Medicaid.(4) Does not have a spouse having sufficient income to furnish medical assistance, or a parent having sufficient income to furnish medical assistance if the applicant is a child who is blind or has a disability and who is less than eighteen (18) years of age.[Pre-1992 Revision Citation: 12-1-7-18.]As added by P.L.2-1992, SEC.9. Amended by P.L.67-2000, SEC.2; P.L.99-2007, SEC.95.
IN Code § 12-15-4-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 4. Application for Assistance|12-15-4-5. Outreach Strategies

Sec. 5. The office shall implement outreach strategies that build on community resources.As added by P.L.273-1999, SEC.173.
IN Code § 12-15-5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-1. Services and Supplies Provided; Exceptions

Sec. 1. Except as provided in IC 12-15-2-12, IC 12-15-6, and IC 12-15-21, the following services and supplies are provided under Medicaid:(1) Inpatient hospital services.(2) Nursing facility services.(3) Physician's services, including services provided under IC 25-10-1 and IC 25-22.5-1.(4) Outpatient hospital or clinic services.(5) Home health care services.(6) Private duty nursing services.(7) Physical therapy and related services.(8) Dental services.(9) Prescribed laboratory and x-ray services.(10) Prescribed drugs and pharmacist services.(11) Eyeglasses and prosthetic devices.(12) Optometric services.(13) Diagnostic, screening, preventive, and rehabilitative services.(14) Podiatric medicine services.(15) Hospice services.(16) Services or supplies recognized under Indiana law and specified under rules adopted by the office.(17) Family planning services except the performance of abortions.(18) Nonmedical nursing care given in accordance with the tenets and practices of a recognized church or religious denomination to an individual qualified for Medicaid who depends upon healing by prayer and spiritual means alone in accordance with the tenets and practices of the individual's church or religious denomination.(19) Services provided to individuals described in IC 12-15-2-8.(20) Services provided under IC 12-15-34 and IC 12-15-32.(21) Case management services provided to individuals described in IC 12-15-2-11 and IC 12-15-2-13.(22) Any other type of remedial care recognized under Indiana law and specified by the United States Secretary of Health and Human Services.(23) Examinations required under IC 16-41-17-2(a)(10).(24) Inpatient substance abuse detoxification services.(25) Chronic pain management.[Pre-1992 Revision Citation: 12-1-7-14.6 part.]As added by P.L.2-1992, SEC.9. Amended by P.L.24-1997, SEC.48; P.L.149-2001, SEC.1; P.L.274-2013, SEC.1; P.L.154-2015, SEC.2; P.L.210-2015, SEC.47; P.L.149-2019, SEC.4.
IN Code § 12-15-5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-2. Necessity of Federal Financial Participation

Sec. 2. Medicaid does not include a service or supply for which federal financial participation is not available.[Pre-1992 Revision Citation: 12-1-7-14.6 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-5-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-5. Office May Provide Drug Coverage; Requirements for Drug Coverage in Managed Care

Sec. 5. (a) The office may provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program.(b) If the office provides a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program:(1) the office shall develop a procedure and provide the recipient's risk based managed care provider with information concerning the recipient's prescription drug utilization for the risk based managed care provider's case management program; and(2) the provisions of IC 12-15-35.5 apply.(c) If the office does not provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program, a managed care organization shall provide coverage and reimbursement for outpatient single source legend drugs subject to IC 12-15-35-46, IC 12-15-35-47, and IC 12-15-35.5.As added by P.L.231-1999, SEC.1. Amended by P.L.101-2005, SEC.1; P.L.152-2017, SEC.5.
IN Code § 12-15-5-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-7. Reimbursement for Doula Services; Rules

Sec. 7. (a) Pregnancy services provided under this article may include reimbursement for doula services.(b) The office may apply for any state plan amendment or waiver necessary to implement this section.(c) The office may adopt rules under IC 4-22-2 to implement this section.As added by P.L.35-2019, SEC.1.
IN Code § 12-15-5-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-8. Maintenance Drugs; Prescriptions; Internet Based Pharmacies

Sec. 8. (a) As used in this section, "maintenance drug" means a medication that is dispensed under a single prescription for a period of not less than one hundred eighty (180) days, excluding authorized refills, for the ongoing treatment of a chronic medical condition or disease or congenital condition or disorder.(b) The office may designate:(1) a mail order pharmacy;(2) an Internet based pharmacy (as defined in IC 25-26-18-1);(3) a pharmacy that agrees to sell a maintenance drug at the same price as a mail order or an Internet based pharmacy; or(4) all the pharmacies listed in subdivisions (1) through (3);through which a recipient may obtain a maintenance drug.(c) If the office makes a designation under subsection (b), a managed care organization that has a contract with the office under IC 12-15-12 is not required to use a pharmacy that is designated under subsection (b).(d) If a Medicaid recipient's physician prescribes a maintenance prescription drug, the Medicaid recipient may purchase the maintenance prescription drug from a pharmacy that is designated under subsection (b).(e) The office shall apply to amend the state Medicaid plan if the office determines that an amendment is necessary to carry out this section.(f) The office may require a recipient to pay the maximum copayment allowable under federal law if the recipient obtains a maintenance drug from a pharmacy other than a pharmacy described in subsection (b).As added by P.L.246-2005, SEC.105.
IN Code § 12-15-5-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-9. Provision of Self-Directed Care Options

Sec. 9. The office shall have self-directed care options and services available for an eligible individual who:(1) is a Medicaid waiver recipient; and(2) chooses self-directed care services.As added by P.L.47-2009, SEC.3.
IN Code § 12-15-5-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-10. Care Available for Individuals Receiving Medicaid Waiver Services; Eligibility Not Affected by Receipt of Services

Sec. 10. (a) An individual who receives Medicaid services through a Medicaid waiver shall receive the following:(1) The development of a care plan addressing the individual's needs.(2) Advocacy on behalf of the individual's interests.(3) The monitoring of the quality of community and home care services provided to the individual.(4) Information and referral services concerning community and home care services if the individual is eligible for these services.(b) The use by or on behalf of an individual receiving Medicaid waiver services of any of the following services or devices does not make the individual ineligible for services under a Medicaid waiver:(1) Skilled nursing assistance.(2) Supervised community and home care services, including skilled nursing supervision.(3) Adaptive medical equipment and devices.(4) Adaptive nonmedical equipment and devices.As added by P.L.47-2009, SEC.4.
IN Code § 12-15-5-11 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-11. Reimbursement for Telehealth Activities and Telehealth Services; Prohibition on Distance Restrictions and Location Requirements; Waiver of Confidentiality; Rules

     Note: This version of section effective until 7-1-2021. See also following version of this section, effective 7-1-2021.Sec. 11. (a) As used in this section, "telehealth activities" means the use of telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, supervision, and information across a distance.(b) As used in this section, "telehealth services" has the meaning set forth for "telehealth" in IC 25-1-9.5-6.(c) The office shall reimburse a Medicaid provider who is licensed as a home health agency under IC 16-27-1 for telehealth activities.(d) The office shall reimburse the following Medicaid providers for medically necessary telehealth services:(1) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).(2) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).(3) A community mental health center certified under IC 12-21-2-3(5)(C).(4) A critical access hospital that meets the criteria under 42 CFR 485.601 et seq.(5) A provider, as determined by the office to be eligible, providing a covered telehealth service.(e) The office may not impose any distance restrictions on providers of telehealth activities or telehealth services. Before December 31, 2017, the office shall do the following:(1) Submit a Medicaid state plan amendment with the United States Department of Health and Human Services that eliminates distance restrictions for telehealth activities or telehealth services in the state Medicaid plan.(2) Issue a notice of intent to adopt a rule to amend any administrative rules that include distance restrictions for the provision of telehealth activities or telehealth services.(f) Subject to federal law, the office may not impose any location requirements concerning the originating site or distant site in which a telehealth service is provided to a Medicaid recipient.(g) A Medicaid recipient waives confidentiality of any medical information discussed with the health care provider that is:(1) provided during a telehealth visit; and(2) heard by another individual in the vicinity of the Medicaid recipient during a health care service or consultation.(h) The office shall implement any part of this section that is approved by the United States Department of Health and Human Services.(i) The office may adopt rules under IC 4-22-2 necessary to implement and administer this section.As added by P.L.204-2013, SEC.3. Amended by P.L.150-2017, SEC.1; P.L.85-2021, SEC.3.
IN Code § 12-15-5-11-b (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-11-b. Reimbursement for Telehealth Services and Telemedicine Services for Certain Providers; Implementation; Rules

     Note: This version of section effective 7-1-2021. See also preceding version of this section, effective until 7-1-2021.Sec. 11. (a) As used in this section, "telehealth activities" means the use of telecommunications and information technology to provide access to:(1) health assessment;(2) diagnosis;(3) intervention;(4) consultation;(5) supervision; and(6) information;across a distance.(b) As used in this section, "telehealth services" has the meaning set forth for "telehealth" in IC 25-1-9.5-6.(c) The office shall reimburse a Medicaid provider who is licensed as a home health agency under IC 16-27-1 for telehealth activities.(d) The office shall reimburse the following Medicaid providers for medically necessary telehealth services:(1) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).(2) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).(3) A community mental health center certified under IC 12-21-2-3(5)(C).(4) A critical access hospital that meets the criteria under 42 CFR 485.601 et seq.(5) A provider, as determined by the office to be eligible, providing a covered telehealth service.(e) The office may not impose any distance restrictions on providers of telehealth activities or telehealth services. Before December 31, 2017, the office shall do the following:(1) Submit a Medicaid state plan amendment with the United States Department of Health and Human Services that eliminates distance restrictions for telehealth activities or telehealth services in the state Medicaid plan.(2) Issue a notice of intent to adopt a rule to amend any administrative rules that include distance restrictions for the provision of telehealth activities or telehealth services.(f) Subject to federal law, the office may not impose any location requirements concerning the originating site or distant site in which a telehealth service is provided to a Medicaid recipient.(g) A Medicaid recipient waives confidentiality of any medical information discussed with the health care provider that is:(1) provided during a telehealth visit; and(2) heard by another individual in the vicinity of the Medicaid recipient during a health care service or consultation.(h) For purposes of a community mental health center, telehealth services satisfy any face to face meeting requirement between a clinician and consumer.(i) The office shall implement any part of this section that is approved by the United States Department of Health and Human Services.(j) The office may adopt rules under IC 4-22-2 necessary to implement and administer this section.As added by P.L.204-2013, SEC.3. Amended by P.L.150-2017, SEC.1; P.L.85-2021, SEC.3; P.L.207-2021, SEC.8.
IN Code § 12-15-5-12 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-12. "Child"; Reimbursement for Specialized or Nonstandard Wheelchairs; Prior Authorization

Sec. 12. (a) As used in this section, "child" includes any of the following:(1) An individual who is less than eighteen (18) years of age.(2) An individual who is at least eighteen (18) years of age and either:(A) continues to be enrolled in a kindergarten through grade 12 school; or(B) has a developmental disability.(b) The office shall reimburse a nursing facility for a specialized or nonstandard wheelchair for a child recipient who resides in a nursing facility at a rate outside the nursing facility's per diem payment for nursing facility services, regardless of whether the child recipient is determined by the office to be rehabilitative.(c) The office may require prior authorization for reimbursement under this section.As added by P.L.108-2014, SEC.1.
IN Code § 12-15-5-13 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 5. Services Provided|12-15-5-13. Coverage for Treatment of Opioid or Alcohol Dependence; Office Requirements; Report Use of Medications to Committee

Sec. 13. (a) The office shall provide coverage for treatment of opioid or alcohol dependence that includes the following:(1) Counseling services that address the psychological and behavioral aspects of addiction.(2) When medically indicated, drug treatment involving agents approved by the federal Food and Drug Administration for the:(A) treatment of opioid or alcohol dependence; or(B) prevention of relapse to opioids or alcohol after detoxification.(3) When determined by the treatment plan to be medically necessary, inpatient detoxification in accordance with the most current edition of the American Society of Addiction Medicine Patient Placement Criteria.(b) The office shall:(1) develop quality measures to ensure; and(2) require a managed care organization to report;compliance with the coverage required under subsection (a).(c) The office may implement quality capitation withholding of reimbursement to ensure that a managed care organization has provided the coverage required under subsection (a).(d) The office shall report the clinical use of the medications covered under this section to the mental health Medicaid quality advisory committee established by IC 12-15-35-51. The mental health Medicaid quality advisory committee may make recommendations to the office concerning this section.As added by P.L.209-2015, SEC.11. Amended by P.L.8-2016, SEC.1; P.L.152-2017, SEC.6; P.L.179-2019, SEC.1.