2011 Indiana Code
TITLE 12. HUMAN SERVICES
ARTICLE 16. PAYMENT FOR HEALTH SERVICES OTHER THAN MEDICAID
CHAPTER 4.5. HOSPITAL CARE FOR THE INDIGENT; APPLICATION FOR ASSISTANCE

IC 12-16-4.5
Chapter 4.5. Hospital Care for the Indigent; Application for Assistance

IC 12-16-4.5-1
Repealed
(Repealed by P.L.146-2008, SEC.819.)

IC 12-16-4.5-2
Time period for provider filing application
Sec. 2. A provider must file the application with the division not more than forty-five (45) days after the person has been released or discharged from the hospital, unless the person is medically unable and the next of kin or legal representative is unavailable.
As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.26; P.L.145-2005, SEC.9; P.L.212-2007, SEC.14; P.L.218-2007, SEC.25.

IC 12-16-4.5-3
Rules
Sec. 3. Subject to this article, the division shall adopt rules under IC 4-22-2 prescribing the following:
(1) The form of an application.
(2) The establishment of procedures for applications.
(3) The time for submitting and processing claims.
As added by P.L.120-2002, SEC.20. Amended by P.L.145-2005, SEC.10.

IC 12-16-4.5-4
Repealed
(Repealed by P.L.146-2008, SEC.819.)

IC 12-16-4.5-5
Assistance in preparing application
Sec. 5. A hospital or an attending physician may assist the patient in the preparation of an application for assistance under the hospital care for the indigent program.
As added by P.L.120-2002, SEC.20.

IC 12-16-4.5-6
Civil or criminal liability arising from assistance in preparation of application; immunity
Sec. 6. A person who in good faith provides assistance in the completion of an application under this chapter is immune from civil or criminal liability arising from the assistance.
As added by P.L.120-2002, SEC.20.

IC 12-16-4.5-7
Signing of application; requirements
Sec. 7. (a) A patient must sign an application if the patient is

medically able to sign.
(b) If a patient is medically unable to sign an application, the patient's next of kin or a legal representative, if available, may sign the application.
(c) If no person under subsections (a) and (b) is able to sign the application to file a timely application, a provider's representative may sign the application instead of the patient.
As added by P.L.120-2002, SEC.20. Amended by P.L.212-2007, SEC.15; P.L.218-2007, SEC.26.

IC 12-16-4.5-8
Filing application by patient or patient's representative
Sec. 8. (a) A person or a person's representative may file an application directly with the division if the application is filed not more than forty-five (45) days after the person has been released or discharged from the hospital.
(b) Reimbursement for the costs incurred in providing care to an eligible person may only be made to the providers of the care.
As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.27; P.L.145-2005, SEC.11.

IC 12-16-4.5-8.5
Provider claim filing deadline
Sec. 8.5. A claim for services must be filed with the division not more than one hundred eighty (180) days after the person who received the care has been released or discharged from the hospital. For good cause as determined by the division, this one hundred eighty (180) day limit may be extended or waived for a claim.
As added by P.L.145-2005, SEC.12. Amended by P.L.212-2007, SEC.16; P.L.218-2007, SEC.27.

IC 12-16-4.5-9
Repealed
(Repealed by P.L.255-2003, SEC.55.)

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