Indiana Code 12-15-44.5-5. Managed care organization responsibilities; reimbursement; cultural competency standards
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Sec. 5. (a) A managed care organization that contracts with the office to provide health coverage, dental coverage, or vision coverage to an individual who participates in the plan:
(2) shall reimburse providers at a rate that is not less than the rate established by the secretary; and
(1) is responsible for the claim processing for the coverage;
Terms Used In Indiana Code 12-15-44.5-5
- plan: refers to the healthy Indiana plan established by section 3 of this chapter. See Indiana Code 12-15-44.5-2
(3) may not deny coverage to an eligible individual who has been approved by the office to participate in the plan.
(b) A managed care organization that contracts with the office to provide health coverage under the plan must incorporate cultural competency standards established by the office. The standards must include standards for non-English speaking, minority, and disabled populations.
As added by P.L.213-2015, SEC.136. Amended by P.L.152-2017, SEC.34; P.L.201-2023, SEC.136.