CHAPTER 27. COVERAGE FOR SERVICES TO INFANTS AND TODDLERS WITH DISABILITIES
IC 27-8-27
Chapter 27. Coverage for Services to Infants and Toddlers With
Disabilities
IC 27-8-27-1
"Early intervention services" defined
Sec. 1. For purposes of this chapter, "early intervention services"
means services provided to a first steps child under IC 12-12.7-2 and
20 U.S.C. 1432(4).
As added by P.L.121-1999, SEC.13. Amended by P.L.93-2006,
SEC.17.
IC 27-8-27-2
"First steps child" defined
Sec. 2. For purposes of this chapter, "first steps child" means an
infant or toddler from birth through two (2) years of age who is
enrolled in the Indiana first steps program and is an insured.
As added by P.L.121-1999, SEC.13.
IC 27-8-27-3
"First steps program" defined
Sec. 3. As used in this chapter, "first steps program" means the
program established under IC 12-12.7-2 and 20 U.S.C. 1431 et seq.
to meet the needs of:
(1) children who are eligible for early intervention services; and
(2) their families.
The term includes the coordination of all available federal, state,
local, and private resources available to provide early intervention
services within Indiana.
As added by P.L.121-1999, SEC.13. Amended by P.L.93-2006,
SEC.18.
IC 27-8-27-4
"Health insurance plan" defined
Sec. 4. (a) For purposes of this chapter, "health insurance plan"
means any:
(1) hospital or medical expense incurred policy or certificate;
(2) hospital or medical service plan contract; or
(3) health maintenance organization subscriber contract;
provided to an insured.
(b) The term does not include the following:
(1) Accident-only, credit, dental, Medicare supplement, long
term care, or disability income insurance.
(2) Coverage issued as a supplement to liability insurance.
(3) Worker's compensation or similar insurance.
(4) Automobile medical payment insurance.
(5) A specified disease policy issued as an individual policy.
(6) A limited benefit health insurance plan issued as an
individual policy.
(7) A short term insurance plan that:
(A) may not be renewed; and
(B) has a duration of not more than six (6) months.
(8) A policy that provides a stipulated daily, weekly, or monthly
payment to an insured during hospital confinement, without
regard to the actual expense of the confinement.
As added by P.L.121-1999, SEC.13.
IC 27-8-27-5
"Insured" defined
Sec. 5. As used in this chapter, "insured" means an individual
covered by a health insurance plan.
As added by P.L.121-1999, SEC.13.
IC 27-8-27-6
Reimbursement of first steps program for early intervention
services payments
Sec. 6. A health insurance plan that provides coverage for early
intervention services shall reimburse the first steps program for
payments made by the program for early intervention services that
are covered under the health insurance plan.
As added by P.L.121-1999, SEC.13.
IC 27-8-27-7
Repealed
(Repealed by P.L.246-2005, SEC.231.)
IC 27-8-27-8
Reimbursement not to be applied to lifetime coverage limit
Sec. 8. The reimbursement required under section 6 of this
chapter may not be applied to any annual or aggregate lifetime limit
on the first steps child's coverage under the health insurance plan.
As added by P.L.121-1999, SEC.13.
IC 27-8-27-9
Payment of deductibles, copayments, or other expenses
Sec. 9. The first steps program may pay required deductibles,
copayments, or other out-of-pocket expenses for a first steps child
directly to a provider. An insurer (as defined in IC 27-8-14.5-3) shall
apply any payments made by the first steps program to the health
insurance plan's deductibles, copayments, or other out-of-pocket
expenses according to the terms and conditions of the health
insurance plan.
As added by P.L.121-1999, SEC.13.