CHAPTER 37. MEDICAID DEMONSTRATION PROJECTS
IC 12-15-37
Chapter 37. Medicaid Demonstration Projects
IC 12-15-37-1
Review of Medicaid recipient populations
Sec. 1. The state department of health, with guidance and input
from the office, shall review Medicaid recipient populations to
determine which populations might benefit from transfer to an
insurance product. Populations to review include participants in:
(1) the IMPACT program; and
(2) certain geographic populations, including rural populations;
to determine the fiscal and other effects of a demonstration project
established for the benefit of these recipients.
As added by P.L.93-1995, SEC.4.
IC 12-15-37-2
Waivers from Department of Health and Human Services; eligible
projects
Sec. 2. After completing the review under section 1 of this
chapter, the office, under the guidance of the state department of
health, may seek waivers from the United States Department of
Health and Human Services to establish one (1) or more of the
following demonstration projects, the goal of each of which is to
provide a more cost effective means of providing health care
coverage for certain Medicaid eligible individuals:
(1) Enrolling the designated recipients in prepaid health care
delivery plans.
(2) Establishing medical savings accounts for designated
recipients.
(3) Purchasing a private insurance product for designated
recipients.
(4) Notwithstanding IC 12-15-5, redesigning the package of
Medicaid benefits and services offered to designated recipients.
Any package offered to designated recipients under this
subdivision must include those services that may be provided
within the scope of a provider's license if the service is covered
under IC 12-15-12.
(5) Integrating the designated recipients into an already
established risk pool.
As added by P.L.93-1995, SEC.4.
IC 12-15-37-3
Affidavit
Sec. 3. The state department of health and the office may not
implement any of the demonstration projects under section 2 of this
chapter until the office, under the guidance of the state department
of health, files an affidavit with the governor that attests that the
federal waivers applied for under section 2 of this chapter are in
effect. The state department of health and the office shall file the
affidavit under this section not later than five (5) days after the state
department of health or the office are notified that the waiver is
approved.
As added by P.L.93-1995, SEC.4.
IC 12-15-37-4
Time limit for implementation
Sec. 4. If a waiver is received from the United States Department
of Health and Human Services and the governor receives the
affidavit filed under section 3 of this chapter, the state department of
health, with guidance and input from the office, shall implement the
demonstration project for which the waiver was granted not more
than ninety (90) days after the governor receives the affidavit.
As added by P.L.93-1995, SEC.4.
IC 12-15-37-5
Rules for implementation
Sec. 5. The state department of health, with guidance and input
from the office, shall adopt rules under IC 4-22-2 to implement a
demonstration project for which a waiver is granted under this
chapter.
As added by P.L.93-1995, SEC.4.
IC 12-15-37-6
Waiver restrictions
Sec. 6. If the state department of health and the office seek a
waiver under this chapter to establish a managed care program or
other demonstration project, the state department of health and the
office shall not seek a waiver of:
(1) federally qualified health centers and rural health clinic
services as mandatory Medicaid services under:
(A) 42 U.S.C. 1396a(10)(A);
(B) 42 U.S.C. 1396d(a)(2)(B); and
(C) 42 U.S.C. 1396d(a)(2)(C); or
(2) reasonable cost reimbursement for federally qualified health
centers and rural health clinics under 42 U.S.C.
1396a(a)(13)(C).
As added by P.L.93-1995, SEC.4. Amended by P.L.14-2000, SEC.30.
IC 12-15-37-7
Stroke prevention and treatment programs
Sec. 7. The office and the state department of health may
collaborate with the American Heart Association to reduce the cost
of stroke treatment and improve the outcome of stroke patients in the
state. The collaboration may include the following:
(1) The development and implementation of a comprehensive
statewide public education program on stroke prevention that is
targeted at high-risk populations and at geographical areas that
have a high incidence of stroke.
(2) The recommendation and dissemination of guidelines on the
treatment of stroke patients, including emergency stroke care.
(3) The development of a program that would ensure that the
public and health care providers are informed concerning the
most effective stroke prevention strategies.
(4) The dissemination of information concerning public and
private grant opportunities available for hospitals and providers
of emergency medical services for the purposes of improving
stroke patient care.
As added by P.L.224-2003, SEC.82.