2011 Indiana Code
TITLE 12. HUMAN SERVICES
ARTICLE 15. MEDICAID
CHAPTER 11. PROVIDER AGREEMENTS AND COMPETITIVE BIDDING
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 provider from participation by entry into exclusive contract with another provider
Execution of provider agreement; authority of office to exclude
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.