reglab/statecodes huggingface dataset:
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1. Administration › 12-15-1-22. Visit to Medicaid Provider Offices, Entities, or Facilities; Rules

Sec. 22. (a) The office shall visit a Medicaid provider's office, entity, or facility if:
(1) the provider is categorized as high risk to the Medicaid program under 42 U.S.C. 1395cc(j)(2)(B) and 42 CFR 455.450; and
(2) the provider's Medicaid claims have increased by at least fifty percent (50%) over a six (6) month period.
(b) The office shall adopt rules under IC 4-22-2 or issue a Medicaid provider bulletin setting forth procedures and standards for the visit required under this section.
As added by P.L.197-2013, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1. Administration › 12-15-1-23. Periodic Review of Medicaid Reimbursement Rates

Sec. 23. (a) Not later than November 1, 2023, the office shall:
(1) develop a schedule for the periodic review of Medicaid reimbursement rates for each category of service that does not have a rate review frequency in state or federal code; and
(2) provide the schedule developed under subdivision (1) to the budget committee.
The office may determine the frequency of review of each service category's Medicaid reimbursement rates according to the schedule. However, each service category's Medicaid reimbursement rates must be reviewed at least once every four (4) years.
(b) The review of the first set of Medicaid reimbursement rates to be reviewed according to the schedule developed under subsection (a)(1) must be completed not later than November 1, 2024.
(c) The office shall provide the findings of each review of each service category's Medicaid reimbursement rates to the budget committee as reviews are completed according to the schedule.
As added by P.L.201-2023, SEC.135.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-1. Waivers to Implement Intent of p.l.46-1995; Expiration of Section

Sec. 1. (a) The terms and conditions of any waivers that are obtained by the state from the United States Department of Health and Human Services or the United States Department of Agriculture before January 1, 1995:
(1) are valid;
(2) comply with the legislative intent of P.L.46-1995;
(3) need not be resubmitted for approval; and
(4) may be implemented until the terms and conditions of any waivers requested under P.L.46-1995 are received and affidavits are filed with the governor's office and the budget committee attesting that the necessary waiver requests have been approved.
(b) The office of the secretary and the office of Medicaid policy and planning shall:
(1) provide the greatest effort possible to secure all federal waivers required under P.L.46-1995; and
(2) reapply for waivers required under P.L.46-1995 but denied by:
(A) the Secretary of the United States Department of Health and Human Services;
(B) the Secretary of the United States Department of Agriculture; or
(C) both the officials described in clauses (A) and (B).
(c) This section expires on the date that all waivers requested under P.L.46-1995 have been obtained.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-2. Application of Waivers Under p.l.46-1995 to Certain Persons; Expiration of Section

Sec. 2. (a) Any part of P.L.46-1995 that requires a waiver from the United States Department of Health and Human Services or the United States Department of Agriculture does not apply to a person who first received assistance under IC 12-14 before January 1, 1994.
(b) This section expires on the later of the following:
(1) January 1, 1996.
(2) Ninety (90) days after the date that all waivers required to implement P.L.46-1995 have been approved.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-3. Application of Waivers Under p.l.46-1995 to Certain Persons; Expiration of Section

Sec. 3. (a) Any part of P.L.46-1995 that requires a waiver from the United States Department of Health and Human Services or the United States Department of Agriculture does not apply to a person who first received assistance under IC 12-14 after December 31, 1993.
(b) This section expires on the later of the following:
(1) January 1, 1997.
(2) Fifteen (15) months after the date that all waivers required to implement P.L.46-1995 have been approved.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-4. Waivers to Implement p.l.257-1997

Sec. 4. The division of family resources shall seek any available waivers from the Secretary of the United States Department of Health and Human Services that are required to carry out P.L.257-1997.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-6. Waiver Application for Prescription Drug Program for Low Income Senior Citizens; Conditions; Changes to Program Approved by Prescription Drug Advisory Committee; Limitation of State Expenditures; Implementation of Waiver

Sec. 6. (a) The office shall develop a federal Medicaid waiver application under which a prescription drug program may be established or implemented to provide access to prescription drugs for low income senior citizens.
(b) Before the office may submit an application for a federal Medicaid waiver that will affect the Indiana prescription drug program established under IC 12-10-16, the following must occur:
(1) The office shall submit the proposed Medicaid waiver to the prescription drug advisory committee.
(2) The prescription drug advisory committee must review, allow public comment on, and approve the proposed Medicaid waiver.
(c) A prescription drug program established or implemented by the office or a contractor of the office under this section may not limit access to prescription drugs for prescription drug program recipients, except under the following circumstances:
(1) Access may be limited to the extent that restrictions were in place in the Medicaid program on March 26, 2002.
(2) Except as provided by IC 12-15-35.5-3(b) and IC 12-15-35.5-3(c), access may be limited to:
(A) prevent:
(i) fraud;
(ii) abuse;
(iii) waste;
(iv) overutilization of prescription drugs; and
(v) inappropriate utilization of prescription drugs; or
(B) implement a disease management program.
IC 12-15-35.5-7 applies to a limit implemented under this subdivision.
(d) Changes to a prescription drug program that:
(1) is established or implemented by the office or a contractor of the office under this section; and
(2) uses money from the Indiana prescription drug account established under IC 4-12-8-2;
must be approved by the prescription drug advisory committee.
(e) The office shall apply to the United States Department of Health and Human Services for approval of any waiver necessary under the federal Medicaid program to provide access to prescription drugs for low income senior citizens.
(f) A Medicaid waiver developed under this section must limit a prescription drug program's state expenditures to funding appropriated to the Indiana prescription drug account established under IC 4-12-8-2 from the Indiana tobacco master settlement agreement fund.
(g) The office may not implement a waiver under this section until the office files an affidavit with the governor attesting that the federal waiver applied for under this section is in effect. The office shall file the affidavit under this subsection not later than five (5) days after the office is notified that the waiver is approved.
(h) If the office receives a waiver under this section from the United States Department of Health and Human Services and the governor receives the affidavit filed under subsection (g), the office shall implement the waiver not more than sixty (60) days after the governor receives the affidavit.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-6.5. State Plan Amendment for Reimbursement for Services and Prescriptions for Hormonal Contraceptives Provided by Pharmacists

Sec. 6.5. Before July 1, 2023, the office shall apply to the United States Department of Health and Human Services to amend the state plan to reimburse a pharmacist for services and prescriptions provided under IC 25-26-25 to an eligible Medicaid recipient.
As added by P.L.154-2023, SEC.1.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-13. Application for Waiver to Provide Presumptive Eligibility for Certain Pregnant Women; Implementation of Waiver; Rules

Sec. 13. (a) The office shall apply to the United States Department of Health and Human Services for any amendment to the state Medicaid plan or demonstration waiver that is needed to provide for presumptive eligibility for a pregnant woman described in IC 12-15-2-13.
(b) The office may not implement the amendment or waiver until the office files an affidavit with the governor attesting that the amendment or waiver applied for under this section is in effect. The office shall file the affidavit under this subsection not more than five (5) days after the office is notified that the amendment or waiver is approved.
(c) If the office receives approval for the amendment or waiver under this section from the United States Department of Health and Human Services and the governor receives the affidavit filed under subsection (b), the office shall implement the amendment or waiver not more than sixty (60) days after the governor receives the affidavit.
(d) The office may adopt rules under IC 4-22-2 to implement this section.
As added by P.L.220-2011, SEC.264.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-15. Waiver Amendment; Emergency Placement Priority

Sec. 15. (a) As used in this section, "division" refers to the division of disability and rehabilitative services established by IC 12-9-1-1.
(b) As used in this section, "waiver" refers to any waiver administered by the office and the division under section 1915(c) of the federal Social Security Act.
(c) The office shall apply to the United States Department of Health and Human Services for approval to amend a waiver to set an emergency placement priority for individuals in the following situations:
(1) Death of a primary caregiver where alternative placement in a supervised group living setting:
(A) is not available; or
(B) is determined by the division to be an inappropriate option.
(2) A situation in which:
(A) the primary caregiver is at least eighty (80) years of age; and
(B) alternate placement in a supervised group living setting is not available or is determined by the division to be an inappropriate option.
(3) There is evidence of abuse or neglect in the current institutional or home placement, and alternate placement in a supervised group living setting is not available or is determined by the division to be an inappropriate option.
(4) There are other health and safety risks, as determined by the division director, and alternate placement in a supervised group living setting is not available or is determined by the division to be an inappropriate option.
(d) The division shall report on a quarterly basis the following information to the division of disability and rehabilitative services advisory council established by IC 12-9-4-2 concerning each Medicaid waiver for which the office has been approved under this section to administer an emergency placement priority for individuals described in this section:
(1) The number of applications for emergency placement priority waivers.
(2) The number of individuals served on the waiver.
(3) The number of individuals on a wait list for the waiver.
(e) Before July 1, 2021, the division, in coordination with the task force established by IC 12-11-15.5-2, shall establish new priority categories for individuals served by a waiver.
(f) The office may adopt rules under IC 4-22-2 necessary to implement this section.
As added by P.L.220-2011, SEC.264. Amended by P.L.229-2011, SEC.122; P.L.35-2016, SEC.36; P.L.262-2019, SEC.5; P.L.156-2020, SEC.54.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-17.5. Budget Committee Review of State Plan Amendments, Waiver Requests, or Revisions

Sec. 17.5. The office may not implement any Medicaid state plan amendments, any Medicaid waiver requests, or any revisions to any Medicaid state plan amendments or Medicaid waiver requests unless the office has submitted a written report to the budget committee concerning the implementation of the amendment, waiver, or revision and the budget committee has reviewed the amendment, waiver, or revision.
As added by P.L.205-2013, SEC.188.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-19. Application for Amendment to Family and Supports Services Waiver; Priority Status; Rules

Sec. 19. (a) Before July 1, 2019, the office of the secretary shall apply to the United States Department of Health and Human Services for an amendment to the family and support services Medicaid waiver to create priority status on the waiver for a child of:
(1) an active member; or
(2) veteran;
of the armed forces of the United States (as defined in IC 5-9-4-3) or the national guard.
(b) The office of the secretary may not implement the amendment until the office files an affidavit with the governor attesting that the amendment applied for under this section is in effect. The office of the secretary shall file the affidavit under this subsection not more than five (5) days after the office is notified that the amendment is approved.
(c) If the office of the secretary receives approval for the amendment under this section from the United States Department of Health and Human Services and the governor receives the affidavit filed under subsection (b), the office shall implement the amendment not more than sixty (60) days after the governor receives the affidavit.
(d) The office of the secretary may adopt rules under IC 4-22-2 to implement this section.
As added by P.L.52-2019, SEC.1.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-20. State Plan Amendment for Reimbursement for Eligible Medicaid Rehabilitation Option Services; Required Commencement of a Plan of Treatment

Sec. 20. (a) Before December 1, 2021, the office shall apply to the United States Department of Health and Human Services for an amendment to the state Medicaid plan that would require reimbursement by:
(1) the office; or
(2) a contractor of the office;
for eligible Medicaid rehabilitation option services provided by a behavioral health professional or other behavioral health professional authorized to provide Medicaid services working in a community mental health center for any Medicaid eligible recipient who is undertaking initial assessment, intake, or counseling in a community mental health center before the development of a plan of treatment. This subsection expires December 31, 2021.
(b) A community mental health center shall commence a plan of treatment within two (2) weeks for a Medicaid recipient who receives services under this section.
As added by P.L.207-2021, SEC.6.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-21. Medicaid Rehabilitation Option Services; State Plan Amendment for Reimbursement in School Setting

Sec. 21. (a) As used in this section, "Medicaid rehabilitation option services" means clinical behavioral health services provided to recipients and families of recipients living in the community who need aid intermittently for emotional disturbances, mental illness, and addiction as part of the Medicaid rehabilitation option program.
(b) Before December 1, 2019, the office may apply to the United States Department of Health and Human Services for a state plan amendment that would require Medicaid reimbursement by:
(1) the office;
(2) a managed care organization that has contracted with the office; or
(3) a contractor of the office;
for eligible Medicaid rehabilitation option services in a school setting for any Medicaid recipient who qualifies for Medicaid rehabilitation option services by meeting specific diagnosis and level of need criteria under an assessment tool approved by the division of mental health and addiction or who submits prior authorization for Medicaid rehabilitation option services.
(c) If the office receives approval for the state plan amendment applied for under this section, the office shall comply with IC 12-15-5-19.
As added by P.L.246-2019, SEC.2.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-22-b. Repealed

Note: This version of IC 12-15-1.3-22, as added by P.L.207-2021, SEC.7, was repealed by P.L.220-2021, SEC.4, and re-enacted at IC 12-15-1.3-23 by P.L.220-2021, SEC.5. See also the preceding version of IC 12-15-1.3-22, as added by P.L.196-2021, SEC.2.
As added by P.L.207-2021, SEC.7. Repealed by P.L.220-2021, SEC.4.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-23. Application for Amendment to State Medicaid Plan

Sec. 23. Before December 1, 2021, the office shall apply to the United States Department of Health and Human Services for an amendment to the state Medicaid plan to require Medicaid reimbursement for the purpose of authorizing Medicaid rehabilitation option services as an eligible service concurrent with reimbursement under the residential treatment program, level of care 3.1 for the clinically managed low-intensity residential services facilities, as set forth by the American Society of Addiction Medicine (ASAM), if the authorized Medicaid rehabilitation option services are not currently reimbursed as an eligible service under the ASAM 3.1 level of care Section 1115 Medicaid demonstration waiver bundled rate.
As added by P.L.220-2021, SEC.5.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-24. Application for Waiver to Provide Behavioral Health Services to Committed Offenders

Sec. 24. (a) Notwithstanding any other law, the secretary, through the office, may apply to the United States Department of Health and Human Services for a Medicaid waiver to provide Medicaid reimbursement by:
(1) the office; or
(2) a contractor of the office;
for eligible services provided by qualified medical personnel (as defined in IC 11-10-3-1) to provide behavioral health services to a committed offender held by the department of correction if the secretary determines that the waiver is necessary to claim any enhanced federal matching funds available for the Medicaid program or programs funded through Medicaid.
(b) Nothing in this section obligates the secretary to apply for a waiver under this section.
(c) If the United States Centers for Medicare and Medicaid Services determines that a waiver similar to the waiver described in subsection (a) is no longer available to the state, this section is void.
As added by P.L.74-2022, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.3. Medicaid Waivers and Plan Amendments › 12-15-1.3-25. Certified Community Behavioral Health Clinics; Implementation; Certification; Requirements; Reimbursement for Eligible Services; Demonstration Program; Rules

Sec. 25. (a) As used in this section, "certified community behavioral health clinic" refers to a community behavioral health clinic that has been certified according to criteria established under Section 223 of the federal Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note).
(b) The office may follow the following procedures for implementing certified community behavioral health clinics that satisfy all federal requirements necessary for certified community behavioral health clinics certified under this section to be eligible for reimbursement from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) or the federal Centers for Medicare and Medicaid Services (CMS). The office may consult with the certified community behavioral health clinics while establishing and implementing changes to the certification process and requirements to do the following:
(1) Establish Indiana specific certified community behavioral health clinic goals.
(2) Conduct community needs assessments.
(3) Develop certified community behavioral health clinic criteria and processes.
(4) Establish certified community behavioral health clinic prospective payment methodology.
(5) Develop data collection and reporting capacities.
(c) After completing the processes described in subsection (b)(1) through (b)(5), and not later than December 31, 2027 (if selected for a demonstration program referenced in subsection (f)), or not later than December 31, 2025 (if not selected for a demonstration program referenced in subsection (f)), the office may apply for:
(1) an amendment to the state Medicaid plan; or
(2) a waiver or an amendment to an existing waiver;
to require reimbursement by the office of the secretary for eligible certified community behavioral health clinic services provided by a behavioral health professional, including a behavioral health professional authorized to provide Medicaid services and employed by a certified community behavioral health clinic.
(d) Reimbursement described in subsection (c) may include reimbursement for at least:
(1) an initial assessment;
(2) intake;
(3) counseling;
(4) medication management;
(5) care coordination;
(6) peer services; and
(7) other services required by the division as provided in the state plan amendment, waiver, or demonstration program;
in a certified community behavioral health clinic for an eligible Medicaid recipient.
(e) The office of the secretary may adopt rules under IC 4-22-2 necessary to implement this section.
(f) The office may apply for, and if selected, participate in, the expansion of a community mental health services demonstration program under Section 223 of the federal Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note), as amended by the Bipartisan Safer Communities Act (P.L. 117-159).
As added by P.L.162-2023, SEC.7.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-1. Purpose of Chapter

Sec. 1. This chapter prescribes the procedures to be followed by a county office in processing:
(1) voter registration applications; and
(2) records concerning an individual's declining to register to vote;
under 52 U.S.C. 20506(a)(2)(A) and IC 3-7-15.
As added by P.L.12-1995, SEC.121. Amended by P.L.128-2015, SEC.232.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-2. Designated Individual

Sec. 2. A county director may designate an employee of the office as the individual responsible for performing the voter registration duties of the office under this chapter at that county office. The employee designated under this section shall supervise the registration of voters by other employees of the office and shall perform any other registration duty required to be performed by the office under this chapter. Notwithstanding this designation, any employee of the office may perform registration duties in accordance with this chapter.
As added by P.L.12-1995, SEC.121.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-3. County Director Responsible if No Designated Individual

Sec. 3. If a county director does not designate an employee under section 2 of this chapter, the director is the individual responsible for performing the voter registration duties of the office under this chapter at that county office.
As added by P.L.12-1995, SEC.121.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-4. Transmittal of Voter Registration Application or Declination Forms

Sec. 4. (a) This section does not apply to a voter registration application or declination to register accepted at a county office during the final five (5) days before the end of a registration period under IC 3-7-13.
(b) As required under 52 U.S.C. 20506(d)(1), the county director or designated office employee shall transmit a completed voter registration application:
(1) to the county voter registration office in which the individual's residential address (as indicated on the application) is located; and
(2) not later than five (5) days after the application is accepted at the office.
(c) The county director or designated employee shall transmit the voter registration application (or a separate declination form) on which the individual declined to register to vote by specifically declining to register or by failing to complete the voter registration portion of the application.
(d) The declination must be transmitted:
(1) to the county voter registration office in which the individual's residential address (as indicated on the application) is located; and
(2) not later than five (5) days after the application is accepted at the office.
As added by P.L.12-1995, SEC.121. Amended by P.L.258-2013, SEC.89; P.L.64-2014, SEC.75; P.L.128-2015, SEC.233.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-5. Transmittal of Voter Registration Application or Declination Forms; Accepted During Final Five Days Before End of Registration Period

Sec. 5. (a) This section applies to a voter registration application or declination to register accepted at a county office during the final five (5) days before the end of a registration period under IC 3-7-13.
(b) As required under 52 U.S.C. 20506(d)(1), the county director or designated employee shall transmit a copy of the completed voter registration application:
(1) to the circuit court clerk or board of registration of the county in which the individual's residential address (as indicated on the application) is located; and
(2) not later than five (5) days after the application is accepted by the office.
(c) The director or designated employee shall transmit a copy of the voter registration application (or a separate declination form) on which the individual declined to register to vote by specifically declining to register or by failing to complete the voter registration portion of the application.
(d) The declination must be transmitted:
(1) to the circuit court clerk or board of registration of the county in which the individual's residential address (as indicated on the application) is located; and
(2) not later than five (5) days after the application is accepted at the office.
As added by P.L.12-1995, SEC.121. Amended by P.L.128-2015, SEC.234.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-6. Methods for Transmittal of Applications or Declinations

Sec. 6. A county director or designated employee may use any of the following methods to transmit voter registration applications or declinations under section 4 or 5 of this chapter:
(1) Hand delivery to the circuit court clerk or board of registration.
(2) Delivery by the United States Postal Service, using first class mail.
(3) Electronic transfer, after approval by the co-directors of the election division.
As added by P.L.12-1995, SEC.121. Amended by P.L.2-1996, SEC.241; P.L.3-1997, SEC.437; P.L.2-1998, SEC.38; P.L.258-2013, SEC.90.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-7. Hand Delivery

Sec. 7. If a county director or designated employee transmits registration applications or declinations by hand delivery under section 6(1) of this chapter, the circuit court clerk or board of registration shall provide the director or designated employee with a receipt for the forms. The receipt must state the date and time of delivery, and the printed name and signature of the person who received the forms.
As added by P.L.12-1995, SEC.121.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-8. Information to Be Provided to Division

Sec. 8. The election division shall provide the division of family resources with a list of the current address and telephone number of the county voter registration office in each county. The division of family resources shall promptly forward the list and each revision of the list to each county office.
As added by P.L.12-1995, SEC.121. Amended by P.L.2-1996, SEC.242; P.L.3-1997, SEC.438; P.L.145-2006, SEC.85; P.L.146-2008, SEC.386; P.L.44-2009, SEC.11; P.L.219-2013, SEC.76.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-10. Notice Regarding Elections

Sec. 10. The co-directors of the election division shall notify each county director of the following:
(1) The scheduled date of each primary, general, municipal, and special election.
(2) The jurisdiction in which the election will be held.
As added by P.L.12-1995, SEC.121. Amended by P.L.2-1996, SEC.243; P.L.3-1997, SEC.439.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 1.5. Voter Registration Services and Medicaid Applications › 12-15-1.5-11. Information to Be Provided to Election Division

Sec. 11. The division shall provide the co-directors of the election division with a list stating the following:
(1) The address and telephone number of each county office.
(2) The name of each county director and any employee designated by the director to be responsible for performing voter registration duties under this chapter.
As added by P.L.12-1995, SEC.121. Amended by P.L.2-1996, SEC.244; P.L.3-1997, SEC.440.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-0.5. Provisions Not Limiting Health Care Assistance

Sec. 0.5. (a) This section applies to a person who qualifies for assistance:
(1) under sections 13 through 16 of this chapter;
(2) under section 6 of this chapter (before its expiration) when the person becomes ineligible for medical assistance under IC 12-14-2-5.1; or
(3) as an individual with a disability if the person is less than eighteen (18) years of age and otherwise qualifies for assistance.
(b) Notwithstanding any other law, the following may not be construed to limit health care assistance to a person described in subsection (a):
(1) IC 12-8-1.5-12.
(2) IC 12-14-1-1.
(3) IC 12-14-1-1.5.
(4) IC 12-14-2-5.1.
(5) IC 12-14-2-5.2.
(6) IC 12-14-2-17.
(7) IC 12-14-2-18.
(8) IC 12-14-2-20.
(9) IC 12-14-2-21.
(10) IC 12-14-2-24.
(11) IC 12-14-2-25.
(12) IC 12-14-2-26.
(13) IC 12-14-2.5.
(14) IC 12-14-5.5.
(15) Section 21 of this chapter.
As added by P.L.46-1995, SEC.31. Amended by P.L.2-2005, SEC.48; P.L.99-2007, SEC.94; P.L.161-2007, SEC.34; P.L.1-2010, SEC.58; P.L.160-2012, SEC.37; P.L.11-2023, SEC.41; P.L.103-2023, SEC.18.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-1. "Federal Income Poverty Level"

Sec. 1. As used in this chapter, "federal income poverty level" means the poverty guidelines updated periodically in the Federal Register by the United States Department of Health and Human Services under 42 U.S.C. 9902(2).
[Pre-1992 Revision Citations: 12-1-7-55(a); 12-1-7-56(a) part.]
As added by P.L.2-1992, SEC.9. Amended by P.L.210-2015, SEC.44.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-2. Determination and Certification of Eligibility and Effective Date of Assistance

Sec. 2. The county office shall determine eligibility and shall certify to the office at the time and in the manner required by the office a list of individuals who have been found eligible to receive Medicaid and the effective date for the payment of assistance under this chapter. The date must be one (1) month before the first day of the month in which the application or request is made.
[Pre-1992 Revision Citation: 12-1-7-21(a).]
As added by P.L.2-1992, SEC.9. Amended by P.L.4-1993, SEC.110; P.L.5-1993, SEC.123.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-3. Individuals Eligible; Receipt of Monthly Assistance Payments or Medical Services; Eligibility for Medical Services Under Aid to Dependent Children Assistance Category or Under State Supplemental Assistance Program for Aged, Blind, or Disabled

Sec. 3. An individual who:
(1) is receiving monthly assistance payments or medical services; or
(2) would be eligible to receive medical services under the aid to dependent children assistance category or under the state supplemental assistance program for the aged, blind, or disabled;
is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(1).]
As added by P.L.2-1992, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-3.5. Eligibility for Aged or Disabled

Sec. 3.5. An individual:
(1) who is:
(A) at least sixty-five (65) years of age; or
(B) disabled, as determined by the Supplemental Security Income program; and
(2) whose income and resources do not exceed those levels established by the Supplemental Security Income program;
is eligible to receive Medicaid assistance if the individual's family income does not exceed one hundred percent (100%) of the federal income poverty level for the same size family, using income counting standards and criteria established by the federal Social Security Administration.
As added by P.L.278-2013, SEC.4. Amended by P.L.210-2015, SEC.45.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-4. Individuals Eligible; Eligible Under Another Approved State Plan but for Plan Condition or Requirement Prohibited in Medicaid Program Under Social Security Act

Sec. 4. An individual who would be eligible for aid or assistance under one (1) of the other approved state plans except for an eligibility condition or other requirement in the plan that is specifically prohibited in a Medicaid program under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.) is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(2).]
As added by P.L.2-1992, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-5. Individuals Eligible; Recipients of Old Age Assistance, Blind Assistance, or Disabled Assistance Payments as of December 31, 1973

Sec. 5. An individual who:
(1) was receiving assistance payments in the old age assistance, blind assistance, or disabled assistance categories as of December 31, 1973; and
(2) continues to remain eligible under state laws and rules;
is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(3).]
As added by P.L.2-1992, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-6.5. Medicaid Buy-in Program

Sec. 6.5. Notwithstanding section 6 of this chapter, beginning July 1, 2002, an individual who meets the requirements of IC 12-15-41 is eligible for Medicaid.
As added by P.L.287-2001, SEC.6.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-7. Individuals Eligible; Children in Families Receiving Tanf Assistance

Sec. 7. A child in a family who receives TANF assistance and is less than twenty-one (21) years of age but not otherwise eligible to be included in section 2 or 3 of this chapter is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(5).]
As added by P.L.2-1992, SEC.9. Amended by P.L.161-2007, SEC.35.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-8. Individuals Eligible; Patients in Institutions for People With an Intellectual Disability or Medical Institutions

Sec. 8. An individual who:
(1) has been found eligible for Medicaid under section 2, 3, 4, 5, or 6 (expired) of this chapter; and
(2) is a patient in an institution for people with an intellectual disability or who is a patient in a medical institution, as long as the institution or that part of the institution in which the patient resides qualifies as an intermediate care facility for mental retardation under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.);
is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(6).]
As added by P.L.2-1992, SEC.9. Amended by P.L.117-2015, SEC.20.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-10. Individuals Eligible; Long Term Care Program Participants

Sec. 10. An individual who:
(1) is at least sixty-five (65) years of age;
(2) participates in the Indiana long term care program under IC 12-15-39.6; and
(3) satisfies the requirements under IC 12-15-39.6-8;
is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(8).]
As added by P.L.2-1992, SEC.9. Amended by P.L.24-1997, SEC.45.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-12. Individuals Eligible; Qualified Children

Sec. 12. A qualified child (as defined in 42 U.S.C. 1396d(n)(2)) is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(10).]
As added by P.L.2-1992, SEC.9.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-13. Pregnant Woman Eligibility; Eligibility Time Frame

Sec. 13. (a) A pregnant woman whose family income does not exceed the income level established in subsection (b) is eligible to receive Medicaid coverage under 42 CFR 435.116.
(b) A pregnant woman described in this section is eligible to receive Medicaid, subject to subsection (c) and 42 U.S.C. 1396a et seq., if her family income does not exceed two hundred eight percent (208%) of the federal income poverty level for the same size family.
(c) Medicaid is available to a pregnant woman described in this section for:
(1) the duration of the pregnancy; and
(2) a period of time determined by the office of the secretary.
The postpartum period of time determined by the office of the secretary must not be less than twelve (12) months of a postpartum period that begins on the last day of the pregnancy, without regard to any change in income of the family of which she is a member during that time.
[Pre-1992 Revision Citations: 12-1-7-14.4(11); 12-1-7-55 part.]
As added by P.L.2-1992, SEC.9. Amended by P.L.46-1995, SEC.32; P.L.119-1997, SEC.1; P.L.218-2007, SEC.9; P.L.278-2013, SEC.5; P.L.85-2017, SEC.56; P.L.117-2022, SEC.2; P.L.180-2022(ss), SEC.14.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-13.5. Eligibility for Women Screened and in Need of Treatment for Breast or Cervical Cancer

Sec. 13.5. (a) A woman:
(1) who is not eligible for Medicaid under any other section of this chapter;
(2) who is less than sixty-five (65) years of age;
(3) who has been:
(A) screened for breast or cervical cancer through the breast and cervical cancer screening program or by another provider under the federal Breast and Cervical Cancer Mortality Prevention Act of 1990 (42 U.S.C. 300k); and
(B) determined to need treatment for breast or cervical cancer;
(4) who is not otherwise covered under creditable coverage (as defined in 42 U.S.C. 300gg-3(c)); and
(5) whose family income does not exceed two hundred percent (200%) of the federal income poverty level for the same size family;
is eligible for Medicaid.
(b) Medicaid made available to a woman described in subsection (a) is limited to the duration of treatment required for breast or cervical cancer.
As added by P.L.152-2001, SEC.2. Amended by P.L.107-2009, SEC.1; P.L.7-2015, SEC.33.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-14. Minors With Limited Family Income

Sec. 14. (a) An individual:
(1) who is less than nineteen (19) years of age;
(2) who is not described in 42 U.S.C. 1396a(a)(10)(A)(i)(I); and
(3) whose family income does not exceed the income level established in subsection (b);
is eligible to receive Medicaid.
(b) An individual described in this section is eligible to receive Medicaid, subject to 42 U.S.C. 1396a et seq., if the individual's family income does not exceed one hundred fifty percent (150%) of the federal income poverty level for the same size family.
[Pre-1992 Revision Citations: 12-1-7-14.4(12); 12-1-7-56 part.]
As added by P.L.2-1992, SEC.9. Amended by P.L.46-1995, SEC.33; P.L.119-1997, SEC.2; P.L.273-1999, SEC.171; P.L.278-2013, SEC.6; P.L.85-2017, SEC.57; P.L.152-2017, SEC.4.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-15. Repealed

[Pre-1992 Revision Citations: 12-1-7-14.4(13); 12-1-7-56 part.]
As added by P.L.2-1992, SEC.9. Amended by P.L.46-1995, SEC.34; P.L.119-1997, SEC.3. Repealed by P.L.273-1999, SEC.182.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-15.5. Repealed

As added by P.L.46-1995, SEC.35. Amended by P.L.24-1997, SEC.46; P.L.119-1997, SEC.4. Repealed by P.L.273-1999, SEC.182.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-15.8. Continuous Eligibility to 19 Years of Age

Sec. 15.8. After an individual who is less than nineteen (19) years of age is determined to be eligible for Medicaid under section 14 of this chapter, the individual is not required to submit eligibility information more frequently than once in a twelve (12) month period until the child becomes nineteen (19) years of age.
As added by P.L.218-2007, SEC.10. Amended by P.L.213-2023, SEC.1.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-16. Eligibility of Individuals Under 18 Years of Age

Sec. 16. An individual:
(1) who is less than eighteen (18) years of age;
(2) who is described in 42 U.S.C. 1396a(a)(10)(A)(ii); and
(3) who is:
(A) a child in need of services (as defined in IC 31-34-1);
(B) a child placed in the custody of the department of child services under IC 31-35-6-1 (or IC 31-6-5-5 before its repeal); or
(C) a child placed under the supervision or in the custody of the department of child services by an order of the court;
is eligible to receive Medicaid.
[Pre-1992 Revision Citation: 12-1-7-14.4(14).]
As added by P.L.2-1992, SEC.9. Amended by P.L.4-1993, SEC.111; P.L.5-1993, SEC.124; P.L.1-1997, SEC.60; P.L.145-2006, SEC.86; P.L.146-2008, SEC.387.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-16.2. Eligibility of Foster Children; Enrollment Assistance

Sec. 16.2. (a) An individual who:
(1) is:
(A) at least eighteen (18) years of age; or
(B) emancipated; and
(2) is less than twenty-six (26) years of age;
is eligible to receive Medicaid as set forth in 42 U.S.C. 1396a(a)(10)(A)(i)(IX).
(b) The office shall assist the department of child services in the enrollment of an individual described in subsection (a) before the individual becomes eighteen (18) years of age or is emancipated from the foster care program.
(c) The office may not require an individual described in subsection (a) to submit eligibility information to the office after the individual's enrollment in the Medicaid program during the individual's eligibility for the Medicaid program under this section.
As added by P.L.124-2017, SEC.1.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-16.5. Automatic Assignment to Medical Support and Third Party Medical Payments; Application

Sec. 16.5. (a) An individual who is applying for Medicaid or receiving Medicaid is considered to have automatically assigned to the state the individual's rights, or the rights of any other person who is dependent upon the individual and eligible for Medicaid, to medical support and other third party payments for medical care for the duration of enrollment in the Medicaid program by the individual or the individual's dependent.
(b) An individual's assignment under subsection (a):
(1) is effective only for services that are reimbursed by Medicaid; and
(2) does not apply to Medicare payments.
As added by P.L.153-2011, SEC.16.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-17.5. Income Exclusion in Determining Eligibility

Sec. 17.5. (a) This section applies beginning on the date on which the United States Department of Health and Human Services approves the request for changes by the office under this section.
(b) This subsection applies to applicants or recipients who are exempt from the use of modified adjusted gross income (MAGI) as described in 42 U.S.C. 1396a(e)(14)(D) in determining eligibility. The office may not consider income earned by an applicant, a recipient, or a member of the applicant's or recipient's family for participating in:
(1) a work based learning course (as defined in IC 20-43-8-0.7); or
(2) paid postsecondary work experience that allows the individual to apply for a related apprenticeship (as defined by IC 20-43-8-0.3);
as income in determining the applicant's or recipient's eligibility for Medicaid.
(c) For an applicant or recipient for whom the modified adjusted gross income (MAGI) is applicable, the office shall elect to apply a reasonable method to include a prorated portion of reasonably predictable future income as a factor concerning the income earned by the applicant or recipient by participating in a work based learning course, as set forth in 42 CFR 435.603(h)(3).
(d) The office shall apply for any state plan amendment or Medicaid waiver necessary to implement this section.
As added by P.L.14-2020, SEC.7.
2023 Indiana Code › Title 12. Human Services › Article 15. Medicaid › Chapter 2. Eligibility › 12-15-2-17.7. Census Work Income Exclusion in Determining Eligibility

Sec. 17.7. (a) This section applies beginning on the date on which the United States Department of Health and Human Services approves the request for changes by the office under this section.
(b) This subsection applies to applicants or recipients who are exempt from the use of modified adjusted gross income (MAGI) as described in 42 U.S.C. 1396a(e)(14)(D) in determining eligibility. The office may not consider income earned by:
(1) an applicant;
(2) a recipient; or
(3) a member of the applicant's or recipient's family;
employed at a temporary job as a census worker as a resource, asset, or income in determining the applicant's or recipient's eligibility for Medicaid.
(c) For an applicant or recipient for whom the modified adjusted gross income (MAGI) is applicable, the office shall elect to apply a reasonable method to include a prorated portion of reasonably predictable future income as a factor concerning the income earned by the applicant or recipient employed at a temporary job as a census worker, as set forth in 42 CFR 435.603(h)(3).
(d) The office shall apply for any state plan amendment or Medicaid waiver necessary to implement this section.
As added by P.L.14-2020, SEC.8.