Indiana Code 27-1-2.3-8.1. Health plan operator payment to a nonparticipating ambulance service
Current as of: 2024 | Check for updates
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Sec. 8.1. A health plan operator shall provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual:
(2) at the rate of four hundred percent (400%) of the current published rate for ambulance service as established by the Centers for Medicare and Medicaid Services under Title XVIII of the federal Social Security Act (42 U.S.C. § 1395 et seq.) for the same ambulance service provided in the same geographic area; or
(1) at a rate set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated;
Terms Used In Indiana Code 27-1-2.3-8.1
- ambulance service provider: means a person that:
Indiana Code 27-1-2.3-2
- Contract: A legal written agreement that becomes binding when signed.
- covered individual: means an individual who is entitled to coverage under a health plan. See Indiana Code 27-1-2.3-3
- health plan: means any of the following:
Indiana Code 27-1-2.3-4
(3) according to the nonparticipating ambulance service provider’s billed charges;
whichever is less.
As added by P.L.163-2024, SEC.10.