Indiana Code 16-41-19.5-4. Amount paid by state department to applicants
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Sec. 4. (a) The state department shall determine the maximum amount the state department will pay each eligible post-organ transplant program applicant based on the following criteria:
(2) Covered immunosuppressive drugs.
(1) Available money.
Terms Used In Indiana Code 16-41-19.5-4
- Contract: A legal written agreement that becomes binding when signed.
- post-organ transplant program: refers to a program established by the state department to pay recipients eligible under this chapter for costs of immunosuppressive drugs prescribed exclusively for the maintenance of individuals who undergo the transplant of an internal organ, including a heart, lung, liver, or kidney, if the costs of the drugs are not reimbursed from other sources. See Indiana Code 16-41-19.5-1
(3) The terms of any contract between the state department and the patient’s health care provider.
(4) The reimbursement rate for a post-organ transplant drug may not be greater than the Medicaid reimbursement rate for the drug, minus a copayment by the recipient.
(b) The state health commissioner may restrict or categorize payments for post-organ transplant drugs to meet budgetary limitations.
As added by P.L.27-1999, SEC.2.