reglab/housing_qa huggingface dataset:
IN Code § 12-15-33-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-3. Membership; Appointment

Sec. 3. (a) The committee shall be appointed as follows:(1) One (1) member shall be appointed by the administrator of the office to represent each of the following organizations:(A) Indiana Council of Community Mental Health Centers.(B) Indiana State Medical Association.(C) Indiana State Chapter of the American Academy of Pediatrics.(D) Indiana Hospital Association.(E) Indiana Dental Association.(F) Indiana State Psychiatric Association.(G) Indiana State Osteopathic Association.(H) Indiana State Nurses Association.(I) Indiana State Licensed Practical Nurses Association.(J) Indiana State Podiatry Association.(K) Indiana Health Care Association.(L) Indiana Optometric Association.(M) Indiana Pharmaceutical Association.(N) Indiana Psychological Association.(O) Indiana State Chiropractic Association.(P) Indiana Ambulance Association.(Q) Indiana Association for Home Care.(R) Indiana Academy of Ophthalmology.(S) Indiana Speech and Hearing Association.(T) Indiana Academy of Physician Assistants.(U) Indiana Association of Rehabilitation Facilities.(V) Indiana Association of Health Plans.(W) Indiana Primary Health Care Association.(2) Ten (10) members shall be appointed by the governor as follows:(A) One (1) member who represents agricultural interests.(B) One (1) member who represents business and industrial interests.(C) One (1) member who represents labor interests.(D) One (1) member who represents insurance interests.(E) One (1) member who represents a statewide taxpayer association.(F) Two (2) members who are parent advocates.(G) Three (3) members who represent Indiana citizens.(3) Six (6) members shall be appointed by the president pro tempore of the senate acting in the capacity as president pro tempore of the senate to represent the senate. Three (3) of the members appointed under this subdivision shall serve on the standing fiscal subcommittee created under section 8(b) of this chapter.(4) Six (6) members shall be appointed by the speaker of the house of representatives to represent the house of representatives. Three (3) of the members appointed under this subdivision shall serve on the standing fiscal subcommittee created under section 8(b) of this chapter.(b) Notwithstanding subsection (a)(3), after consultation with the minority leader of the senate, the president pro tempore of the senate shall appoint three (3) of the members from the minority party of the senate.(c) Notwithstanding subsection (a)(4), after consultation with the minority leader of the house of representatives, the speaker of the house shall appoint three (3) of the members from the minority party of the house.[Pre-1992 Revision Citation: 12-1-13-1(b).]As added by P.L.2-1992, SEC.9. Amended by P.L.157-1995, SEC.1; P.L.158-1995, SEC.1; P.L.42-1995, SEC.24; P.L.109-1996, SEC.2; P.L.273-1999, SEC.176; P.L.35-2016, SEC.44; P.L.114-2018, SEC.2; P.L.140-2019, SEC.1.
IN Code § 12-15-33-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-4. Expiration of Term; Designation of Successor

Sec. 4. An appointment to the committee terminates July 1 of the year in which the appointment expires, but a member serves until the member's successor is designated.[Pre-1992 Revision Citation: 12-1-13-1(d) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-33-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-5. Term of Office

Sec. 5. An appointment to the committee is for a four (4) year term, except the representatives of the senate and house of representatives, whose terms coincide with the representative's or senator's respective legislative terms.[Pre-1992 Revision Citation: 12-1-13-1(d) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-33-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-6. Ex Officio Members

Sec. 6. The following shall serve as ex officio members of the committee:(1) The state health commissioner or the commissioner's designee.(2) The director of the division of mental health and addiction or the director's designee.(3) The administrator of the office.[Pre-1992 Revision Citation: 12-1-13-1(d) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.215-2001, SEC.45.
IN Code § 12-15-33-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-7. Committee Secretary

Sec. 7. The administrator of the office shall serve as secretary of the committee.[Pre-1992 Revision Citation: 12-1-13-1(d) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-33-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-8. Subcommittees

Sec. 8. (a) A subcommittee may be created as the committee considers necessary.(b) The committee shall create a standing fiscal subcommittee.(c) The chairman of each subcommittee must be a member of the committee.(d) Subcommittees may convene as often as needed.[Pre-1992 Revision Citation: 12-1-13-1(e).]As added by P.L.2-1992, SEC.9. Amended by P.L.140-2019, SEC.2.
IN Code § 12-15-33-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-9. Meetings

Sec. 9. The committee shall do the following:(1) Meet at least four (4) times each year, one (1) time in each calendar quarter.(2) Hold special meetings that the committee or the secretary requests.[Pre-1992 Revision Citation: 12-1-13-1(f).]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-33-9.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-9.5. Reviews, Studies, and Advisory Recommendations; Expiration

Sec. 9.5. (a) The committee shall review, study, and make advisory recommendations concerning the following subjects:(1) Emergency department coverage and reimbursement to providers.(2) The reporting of Medicaid prior authorization denials by Medicaid managed care entities, excluding pharmacies.(3) The reporting of Medicaid denials based on:(A) administrative and medically necessary criteria; or(B) errors or omissions made by the managed care entity.(4) Prompt payment to providers for claims:(A) within thirty (30) days;(B) within ninety (90) days;(C) within one hundred eighty (180) days; and(D) over three hundred sixty-five (365) days.(5) The provider appeals process for administrative and medically necessary Medicaid denials and the resolution of appeals, including rates of reversal.(6) The central credentialing portal.(7) Policy changes to the Medicaid program with an implementation period for providers or managed care entities of more than thirty (30) days.(8) The reporting of Medicaid denials due to retro-eligibility status.(9) Other subjects, as the committee considers necessary.(b) The committee shall, not later than November 1, 2019, study, make advisory recommendations under section 2 of this chapter, and report and make recommendations to the legislative council in an electronic format under IC 5-14-6, concerning the feasibility of applying for a Medicaid state plan amendment for the following:(1) Medicaid reimbursement for health care services and school based services provided to specified individuals by a school based health center.(2) Potential directed payments to school based health centers, including:(A) alternate fee schedule payments under the risk based managed care program equivalent to the fee that Medicare pays for the service, or if there is not a Medicare rate for the service, an amount determined by the office of Medicaid policy and planning; and(B) supplemental Medicaid reimbursement payments to qualified school based health centers under the fee for service Medicaid program.(c) This section expires July 1, 2021.As added by P.L.140-2019, SEC.3. Amended by P.L.227-2019, SEC.1.
IN Code § 12-15-33-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33. Medicaid Advisory Committee|12-15-33-10. Travel Allowance

Sec. 10. (a) Appointed members of the committee other than members of the general assembly are entitled to receive travel allowance to and from regular or special meetings in accordance with the amounts set by and the provisions of the budget committee for state employees.(b) Each member of the committee 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.[Pre-1992 Revision Citation: 12-1-13-1(g).]As added by P.L.2-1992, SEC.9. Amended by P.L.140-2019, SEC.4.
IN Code § 12-15-33.5-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33.5. Medicaid Clinical Advisory Committee|12-15-33.5-1. "Committee" Defined

Sec. 1. As used in this chapter, "committee" refers to the Medicaid clinical advisory committee established under this chapter.As added by P.L.42-1995, SEC.25.
IN Code § 12-15-33.5-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33.5. Medicaid Clinical Advisory Committee|12-15-33.5-2. Establishment

Sec. 2. The office shall establish a clinical advisory committee to provide clinical insights and applications of clinical policy issues related to programs administered by the office, including issues related to:(1) current standards of care;(2) quality of care;(3) accessibility of care;(4) appropriateness of care; and(5) cost-effectiveness of care.As added by P.L.42-1995, SEC.25.
IN Code § 12-15-33.5-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 33.5. Medicaid Clinical Advisory Committee|12-15-33.5-3. Membership; Meetings; Consultations; Ad Hoc Clinical Advisory Committee

Sec. 3. (a) The committee consists of at least seven (7) members and not more than thirteen (13) members.(b) The office's medical consultant shall serve as the chairperson of the committee.(c) The committee shall include at least seven (7) physicians who are:(1) licensed under IC 25-22.5; and(2) actively engaged in the practice of medicine.(d) The office shall select the remaining committee members from the medical provider community to represent the services most critical to the Medicaid recipient population.(e) The committee shall meet:(1) one (1) time every two (2) months; or(2) as determined necessary by the chairperson.(f) The committee may consult as needed with other persons who have expertise in any clinical policy issue being considered by the committee.(g) If the committee established under subsection (a) considers a change in clinical policy related to care and services provided under:(1) IC 25-10 (chiropractic services);(2) IC 25-14 (dental services);(3) IC 25-24 and IC 25-26 (eye care services); or(4) IC 25-29 (foot care services);the office shall establish an ad hoc clinical advisory committee comprised of three (3) licensed non-physician practitioners directly affected by the proposed clinical policy change.(h) The chairperson of a committee under subsection (g) shall be the office's medical consultant.(i) When an ad hoc clinical advisory committee is established under subsection (g)(3), one (1) member of the committee shall be a physician licensed under IC 25-22.5 who provides services similar to those provided by an optometrist licensed under IC 25-24 or IC 25-26.(j) A committee established under subsection (g) shall provide clinical insights and applications of clinical policy issues relating to:(1) current standards of care;(2) quality of care;(3) accessibility of care;(4) appropriateness of care; and(5) cost-effectiveness of care.As added by P.L.42-1995, SEC.25.
IN Code § 12-15-34-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-1. "Home Health Agency"

Sec. 1. As used in this chapter, "home health agency" means a public or private organization, whether owned or operated by one (1) or more persons, that furnishes or offers to furnish home health services.[Pre-1992 Revision Citation: 12-1-7.5-1(a) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-2. "Home Health Services"

Sec. 2. (a) As used in this chapter, "home health services" means any of the following items or services furnished to an individual by a home health agency or by others under arrangements with a home health agency on a visiting basis, and except as provided in subsection (b), in a place of temporary or permanent residence used as the individual's home:(1) Part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse.(2) Physical, occupational, or speech therapy or other therapeutic services.(3) Medical social services.(4) Home health aid services.(5) Medical supplies other than drugs and biologicals.(6) The use of medical appliances.(7) Homemaking services provided by the home health agency to help the individual stay in the individual's own home.(b) The term includes items and services of a kind described in subsection (a)(1) through (a)(6) that:(1) are provided on an outpatient basis under arrangements made by a home health agency at:(A) a hospital;(B) a health facility;(C) a rehabilitation center; or(D) other appropriate locations outside of the home, as determined by the office; and(2) either:(A) involve the use of equipment of a nature that cannot readily be made available to the individual in the individual's home; or(B) that are furnished at the hospital, health facility, or rehabilitation center while the individual is there to receive items or services.(c) The term does not include transportation of the individual in connection with receiving items or services described in subsection (b)(1) and (b)(2).[Pre-1992 Revision Citation: 12-1-7.5-1(b) part.]As added by P.L.2-1992, SEC.9. Amended by P.L.2-1995, SEC.49; P.L.114-2018, SEC.3.
IN Code § 12-15-34-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-3. Items and Services Furnished Either by Home Health Agency or by Others Under Arrangements With Home Health Agency; Exception

Sec. 3. Home health services includes items and services furnished to an individual by either of the following:(1) A home health agency.(2) Others under arrangements with a home health agency on a visiting basis and, except for section 4(5) of this chapter, in a place of temporary or permanent residence used as the individual's home.[Pre-1992 Revision Citation: 12-1-7.5-1(b) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-4. Items and Services Included Under Ic 12-15-34-2 Definition of Home Health Services

Sec. 4. The items and services under section 2 of this chapter include the following:(1) Part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse.(2) Physical, occupational, or speech therapy or other therapeutic services.(3) Medical social services and home health aid services.(4) Medical supplies other than drugs and biologicals and the use of medical appliances.(5) Any of the items and services under subdivisions (1), (2), (3), and (4) that:(A) are provided on an outpatient basis under arrangements made by a home health agency at a hospital, health care facility, or rehabilitation center; and(B) involves the use of equipment of a nature that the items and services cannot readily be made available to the individual in the individual's home or that are furnished at the facility while the individual is there to receive any item or service, but not including transportation of the individual in connection with the item or service.(6) Homemaking services provided by the agency to help the individual's stay in the individual's own home.[Pre-1992 Revision Citation: 12-1-7.5-1(b) part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-5. Office and Secretary; Actions, Directions, and Rules; Providing of Services and Ensuring Uniform Equitable Treatment of Applicants and Recipients

Sec. 5. The office and the secretary shall:(1) take action;(2) give directions; and(3) adopt rules under IC 4-22-2;necessary to carry out this chapter and the federal Social Security Act concerning the providing of services and to ensure uniform equitable treatment of all applicants for and recipients of Medicaid supportive services in the recipients' own homes.[Pre-1992 Revision Citation: 12-1-7.5-2.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-6. Contracts for Services; Authorization

Sec. 6. The office may contract with any of the following to purchase the necessary services to implement this chapter:(1) A state, public, or private agency.(2) A business firm.(3) A corporation.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-7. Contracts; Maximum Term

Sec. 7. A contract made with the following may be for a term not to exceed three (3) years:(1) A public or private agency.(2) A business firm.(3) A foundation.(4) A corporation.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-8. Preparation of Qualifications and Specifications for Bidders

Sec. 8. The office shall assist the Indiana department of administration in the preparation of qualifications and specifications for bidders contracting with the state to administer the fiscal provisions of or to provide services under this chapter.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-9. Subcontracts; Authorization; Term

Sec. 9. A contractor with the state under this chapter may subcontract a part of the contractor's prime contract. However, a subcontract may not extend beyond the term of the prime contract.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-10. Subcontracts; Approval

Sec. 10. A subcontract let by a prime contractor must be approved by the office and the Indiana department of administration.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-11 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-11. Subcontracts; Information Furnished to Office

Sec. 11. The contractor or the subcontractor shall furnish the following information to the office:(1) The amount of the subcontract.(2) The qualifications of the subcontractor for guaranteeing performance.(3) Other data required by the state.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-12 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-12. Contract or Subcontract; Availability to Legislative Council

Sec. 12. Upon request, a contract or subcontract shall be made available to the legislative council or the council's representative for inspection and examination.[Pre-1992 Revision Citation: 12-1-7.5-3 part.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-13 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-13. Plan for Purchase of Services Under Ic 4-23-17-9.3

Sec. 13. The office shall include in the division's state plan for the purchase of services under IC 4-23-17-9.3 (repealed) a comprehensive program for the provision of home health services to an individual who is eligible for Medicaid.[Pre-1992 Revision Citation: 12-1-7.5-4.]As added by P.L.2-1992, SEC.9. Amended by P.L.1-2009, SEC.103.
IN Code § 12-15-34-14 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-14. Utilization Review Procedures

Sec. 14. The office shall develop adequate utilization review procedures for home health agencies to conform to federal guidelines.[Pre-1992 Revision Citation: 12-1-7.5-5.]As added by P.L.2-1992, SEC.9.
IN Code § 12-15-34-14.5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 34. Home Health Care Services; Office of Medicaid Policy and Planning|12-15-34-14.5. Reduce Reimbursement for Home Health Services Prohibited

Sec. 14.5. (a) This section is effective beginning July 1, 2017.(b) The office of the secretary may not reduce reimbursement for home health services.(c) 405 IAC 1-4.2-4(l) and any successor rule concerning reducing home health services reimbursement are void and may not be renewed or otherwise implemented.As added by P.L.217-2017, SEC.79.
IN Code § 12-15-35-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 35. Drug Utilization Review|12-15-35-1. "Appropriate and Medically Necessary" Defined

Sec. 1. As used in this chapter, "appropriate and medically necessary" means drug prescribing, drug dispensing, and patient medication usage in conformity with the criteria and standards developed under this chapter.As added by P.L.75-1992, SEC.19.
IN Code § 12-15-35-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 35. Drug Utilization Review|12-15-35-2. "Board" Defined

Sec. 2. As used in this chapter, "board" refers to the drug utilization review board created under this chapter.As added by P.L.75-1992, SEC.19.
IN Code § 12-15-35-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 35. Drug Utilization Review|12-15-35-3. "Compendia" Defined

Sec. 3. As used in this chapter, "compendia" means those resources widely accepted by the medical profession in the efficacious use of drugs, including the following sources:(1) The American Hospital Formulary Services Drug Information.(2) The U.S. Pharmacopeia-Drug Information.(3) The American Medical Association Drug Evaluations.(4) The peer-reviewed medical literature.As added by P.L.75-1992, SEC.19.
IN Code § 12-15-35-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 35. Drug Utilization Review|12-15-35-4. "Counseling" Defined

Sec. 4. As used in this chapter, "counseling" means the activities conducted by a pharmacist to inform Medicaid recipients about the proper use of drugs as required by the board under this chapter.As added by P.L.75-1992, SEC.19.