§ 12-15-12-0.3 “Emergency medical condition”
§ 12-15-12-0.5 “Emergency services”
§ 12-15-12-0.7 “Post-stabilization care services”
§ 12-15-12-0.9 Applicability; Medicaid law controlling over conflicting insurance law
§ 12-15-12-1 Providers from whom recipients may obtain services other than physician services; exceptions
§ 12-15-12-2 Providers from whom recipients may receive physician services; exceptions
§ 12-15-12-3 List of managed care providers furnished recipient; providers included; exception
§ 12-15-12-4 Failure by recipient to select managed care provider within reasonable time; assignment by office; exception
§ 12-15-12-4.5 Managed care prescription drug program requirements
§ 12-15-12-5 Circumstances permitting recipient to receive physician services from provider other than managed care provider; exceptions
§ 12-15-12-6 Admission to hospital by physician other than managed care provider; notification of managed care provider; services for which payment made
§ 12-15-12-7 Providers from whom recipients may obtain eye care services other than surgical services
§ 12-15-12-8 Providers from whom recipients may obtain foot care services
§ 12-15-12-9 Providers from whom recipients may obtain psychiatric services
§ 12-15-12-10 Selection or assignment of managed care provider; selection of new provider; exception
§ 12-15-12-11 Waiver from Department of Health and Human Services; implementation of chapter
§ 12-15-12-12 Payments to providers
§ 12-15-12-13 Permitted forms
§ 12-15-12-15 Coverage for emergency services
§ 12-15-12-17 Coverage for post-stabilization care services
§ 12-15-12-18 Payment for emergency services
§ 12-15-12-18.5 Reimbursement for emergency medical services provider organizations; implementation
§ 12-15-12-20 Child lead poisoning screening
§ 12-15-12-21 Accreditation
§ 12-15-12-22 Accepting, receiving, and processing electronic claims
§ 12-15-12-23 Psychiatrist practicing in community mental health center
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Terms Used In Indiana Code > Title 12 > Article 15 > Chapter 12 - Managed Care

  • Contract: A legal written agreement that becomes binding when signed.
  • emergency medical condition: means a medical condition manifesting itself by acute symptoms, including severe pain, of sufficient severity that a prudent lay person with an average knowledge of health and medicine could reasonably expect the absence of immediate medical attention to result in:

    Indiana Code 12-15-12-0.3

  • emergency services: means covered inpatient and outpatient services that are:

    Indiana Code 12-15-12-0.5

  • post-stabilization care services: means covered services related to an emergency medical condition that are provided after an enrollee is stabilized in order to maintain the stabilized condition or, under the circumstances described in IC 12-15-12-17(b)(3), to improve or resolve the enrollee's condition. See Indiana Code 12-15-12-0.7
  • United States: includes the District of Columbia and the commonwealths, possessions, states in free association with the United States, and the territories. See Indiana Code 1-1-4-5