Sec. 1. (a) This chapter applies to a referral made after December 31, 2017.

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Terms Used In Indiana Code 25-1-9.1-1

  • emergency medical condition: means a medical condition that arises suddenly and unexpectedly and manifests itself by acute symptoms of such severity, including severe pain, that the absence of immediate medical attention could reasonably be expected by a prudent lay person who possesses an average knowledge of health and medicine to:

    Indiana Code 25-1-9.1-4

  • provider: means a practitioner described in IC 25-1-9-2(a)(1). See Indiana Code 25-1-9.1-9
  • referral: means a recommendation or direction made by a provider to a covered individual that the covered individual receive a health care item or service rendered by another provider that is not affiliated with the first provider. See Indiana Code 25-1-9.1-11
     (b) This chapter does not apply to the following:

(1) A referral for treatment of an emergency medical condition.

(2) A referral made:

(A) immediately following treatment of an emergency medical condition; and

(B) by the provider that rendered the treatment of the emergency medical condition.

(3) A referral for medically or psychologically necessary therapeutic services rendered to an admitted patient in:

(A) a hospital; or

(B) another facility to which a patient may be admitted for more than twenty-four (24) hours.

As added by P.L.147-2017, SEC.1.