2006 Indiana Code - CHAPTER 11. PROVIDER AGREEMENTS AND COMPETITIVE BIDDING

IC 12-15-11
     Chapter 11. Provider Agreements and Competitive Bidding

IC 12-15-11-1
Physician services defined
     Sec. 1. (a) As used in this chapter, "physician services" means services provided by an individual licensed under IC 25-22.5 while engaged in the practice of medicine (as defined in IC 25-22.5-1-1.1(a)).
    (b) The term does not include the decision to admit a patient to a hospital.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-2
Services other than physician services provided by managed care provider; provider agreement; filing; form
     Sec. 2. A provider desiring to participate in the Medicaid program by providing to individuals eligible for Medicaid services, other than physician services provided by a managed care provider, shall file a provider agreement with the office on forms provided by the office.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-3
Provider agreements; required contents
     Sec. 3. A provider agreement must do the following:
        (1) Include information that the office determines necessary to facilitate carrying out of IC 12-15.
        (2) Prohibit the provider from requiring payment from a recipient of Medicaid, except where a copayment is required by law.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-4
Providing physician services as managed care provider; provider agreement
     Sec. 4. A provider desiring to participate in the Medicaid program by providing physician services as a managed care provider must enter into a provider agreement with the office or the contractor under IC 12-15-30 to provide Medicaid services.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-5
Compliance with enrollment requirements
     Sec. 5. A provider who participates in the Medicaid program must comply with the enrollment requirements that are established under rules adopted under IC 4-22-2 by the secretary.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-6
Execution of provider agreement; authority of office to exclude

provider from participation by entry into exclusive contract with another provider
     Sec. 6. After a provider signs a provider agreement under this chapter, the office may not exclude the provider from participating in the Medicaid program by entering into an exclusive contract with another provider or group of providers, except as provided under section 7 of this chapter.
As added by P.L.2-1992, SEC.9.

IC 12-15-11-7
Competitive bids; services and items for which bids may be sought
     Sec. 7. The office may seek competitive bids for the following items or services provided under Medicaid:
        (1) Prescribed drugs and services for state operated institutions.
        (2) Physical therapy and other therapeutic services.
        (3) Prescribed laboratory and x-ray services.
        (4) Eyeglasses and prosthetic devices.
        (5) Medical equipment and supplies.
        (6) Transportation services.
As added by P.L.2-1992, SEC.9.