Sec. 16. A health care provider that enters into:

(1) a value based health care reimbursement agreement; and

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Terms Used In Indiana Code 27-1-37.6-16

  • electronic medical records access agreement: means an agreement between a health plan and health care provider that:

    Indiana Code 27-1-37.6-5

  • health care provider: means an individual or entity that is:

    Indiana Code 27-1-37.6-7

  • health plan: means any of the following:

    Indiana Code 27-1-37.6-9

  • prior authorization: means a practice implemented by a health plan through which coverage of a health care service is dependent on the covered individual or health care provider obtaining approval from the health plan before the health care service is rendered. See Indiana Code 27-1-37.6-12
(2) an electronic medical records access agreement;

with a health plan may qualify to participate in a program established by the health plan to reduce or eliminate prior authorization requirements.

As added by P.L.203-2023, SEC.19.