Prohibition on retroactive rate reduction; notice requirement
Ind. Code § 27-13-36.2-4.7
in effectSec. 4.7. (a) A health maintenance organization may not retroactively reduce the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3).
(b) A health maintenance organization shall provide at least sixty (60) days notice by:
(1) mail or electronic mail to a provider; and
(2) posting on the health maintenance organization's website;
before prospectively reducing the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3).
As added by P.L.88-2026, SEC.14.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026
