Ind. Code ch. 12-17.6-2

in effect

Ind. Code § 12-17.6-2-1 Administration of program

Sec. 1. The secretary shall administer the children's health insurance program through the office of Medicaid policy and planning. As added by P.L.273-1999, SEC.177. Amended by P.L.35-2016, SEC.51.

Ind. Code § 12-17.6-2-2 Design and administration of health benefits coverage system

Sec. 2. The secretary, through the office, shall design and administer a system to provide health benefits coverage for children eligible for the program. As added by P.L.273-1999, SEC.177. Amended by P.L.35-2016, SEC.52.

Ind. Code § 12-17.6-2-3 Use of same factors as Medicaid managed care program for children

Sec. 3. To the greatest extent possible, the office shall use the same: (1) eligibility determination; (2) enrollment; (3) provider networks; and (4) claims payment systems; as are used by the Medicaid managed care program for children. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-4 Feasibility studies

Sec. 4. The office shall evaluate the feasibility of the following: (1) Establishing a program to subsidize employer sponsored coverage under the program. (2) Expanding health insurance coverage under the program to other populations as provided under section 2105(c)(3) of the federal Social Security Act. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-5 Program review requirements

Sec. 5. Reviews of the program shall: (1) be conducted in compliance with federal requirements; and (2) include an analysis of the extent to which crowd out is occurring. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-6 Performance criteria and monitoring

Sec. 6. The office shall do the following: (1) Establish performance criteria and evaluation measures. (2) Monitor program performance. (3) Adopt a formula that: (A) specifies the premiums, if any, to be paid by the parent or guardian of a child enrolled in the program; and (B) is based on the child's family income. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-7 Evaluation of program

Note: This version of section effective until 7-1-2027. See also following version of this section, effective 7-1-2027. Sec. 7. (a) The office shall contract with an independent organization to evaluate the program. (b) The office shall report the results of each evaluation to the: (1) children's health policy board established by IC 4-23-27-2; and (2) interim study committee on public health, behavioral health, and human services established by IC 2-5-1.3-4 in an electronic format under IC 5-14-6. (c) This section does not modify the requirements of other statutes relating to the confidentiality of medical records. As added by P.L.273-1999, SEC.177. Amended by P.L.66-2002, SEC.11; P.L.205-2013, SEC.212; P.L.53-2014, SEC.111.

Ind. Code § 12-17.6-2-7 Evaluation of program

Note: This version of section effective 7-1-2027. See also preceding version of this section, effective until 7-1-2027. Sec. 7. (a) The office shall contract with an independent organization to evaluate the program. (b) The office shall report the results of each evaluation to the interim study committee on public health, behavioral health, and human services established by IC 2-5-1.3-4 in an electronic format under IC 5-14-6. (c) This section does not modify the requirements of other statutes relating to the confidentiality of medical records. As added by P.L.273-1999, SEC.177. Amended by P.L.66-2002, SEC.11; P.L.205-2013, SEC.212; P.L.53-2014, SEC.111; P.L.152-2026, SEC.203.

Ind. Code § 12-17.6-2-8 Contracts with community entities

Sec. 8. The office may, in administering the program, contract with community entities, including private entities, for the following: (1) Outreach for and enrollment in the managed care program. (2) Provision of services. (3) Consumer education and public health education. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-9 Creative methods reflective of community level objectives

Sec. 9. (a) The office shall incorporate creative methods, reflective of community level objectives and input, to do the following: (1) Encourage beneficial and appropriate use of health care services. (2) Pursue efforts to enhance provider availability. (b) In determining the best approach for each area, the office shall do the following: (1) Evaluate distinct market areas. (2) Weigh the advantages and disadvantages of alternative delivery models, including the following: (A) Risk based managed care only. (B) Primary care gatekeeper model only. (C) A combination of clauses (A) and (B). As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-10 Program to subsidize employer sponsored coverage

Sec. 10. (a) The office may establish a program to subsidize employer sponsored coverage for: (1) eligible individuals; and (2) the families of eligible individuals; consistent with federal law. (b) If the office establishes a program under subsection (a), the employer sponsored benefit package must comply with federal law. As added by P.L.273-1999, SEC.177.

Ind. Code § 12-17.6-2-11 Rules; transfer of rules

Sec. 11. (a) The secretary shall adopt rules under IC 4-22-2 to implement the program. (b) A rule adopted before April 15, 2016, by the office of children's health insurance program is transferred to the office of the secretary. As added by P.L.273-1999, SEC.177. Amended by P.L.35-2016, SEC.53; P.L.93-2024, SEC.114.

Ind. Code § 12-17.6-2-12 Annual report

Note: This version of section effective until 7-1-2027. See also following version of this section, effective 7-1-2027. Sec. 12. Not later than April 1, the office shall provide a report describing the program's activities during the preceding calendar year to the: (1) budget committee; (2) legislative council; (3) children's health policy board established by IC 4-23-27-2; and (4) interim study committee on public health, behavioral health, and human services established by IC 2-5-1.3-4 in an electronic format under IC 5-14-6. A report provided under this section to the legislative council must be in an electronic format under IC 5-14-6. As added by P.L.273-1999, SEC.177. Amended by P.L.66-2002, SEC.12; P.L.28-2004, SEC.110; P.L.205-2013, SEC.213; P.L.53-2014, SEC.112.

Ind. Code § 12-17.6-2-12 Annual report

Note: This version of section effective 7-1-2027. See also preceding version of this section, effective until 7-1-2027. Sec. 12. Not later than April 1, the office shall provide a report describing the program's activities during the preceding calendar year to the: (1) budget committee; (2) legislative council; and (3) interim study committee on public health, behavioral health, and human services established by IC 2-5-1.3-4 in an electronic format under IC 5-14-6. A report provided under this section to the legislative council must be in an electronic format under IC 5-14-6. As added by P.L.273-1999, SEC.177. Amended by P.L.66-2002, SEC.12; P.L.28-2004, SEC.110; P.L.205-2013, SEC.213; P.L.53-2014, SEC.112; P.L.152-2026, SEC.204.

Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/12Fetched: 10/17/2026