Indiana Code 12-15-29-4. Direct payments by insurers to office; amount of payments

Sec. 4. (a) If:

(1) an insurer has not discharged the insurer’s obligation to make payments to an individual for medical services;

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insurer: includes a pharmacy benefit manager. See Indiana Code 12-15-29-0.5
Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.

(2) the individual has received Medicaid from the office; and

(3) the insurer has received notice that Medicaid has been furnished to the individual;

the insurer shall make payments directly to the office.

(b) The payments under subsection (a) may not exceed the amount of Medicaid paid by the office.

[Pre-1992 Revision Citation: 12-1-7-24.2(a).]

As added by P.L.2-1992, SEC.9.