Ind. Code ch. 12-8-6.5

Ind. Code ch. 12-8-6.5
in effect

Ind. Code § 12-8-6.5-0.3 Legalization of certain actions

Sec. 0.3. (a) Actions taken under IC 12-8-6 (expired), after December 31, 2007, and before March 24, 2008, are legalized and validated to the extent that those actions would have been legal and valid if P.L.113-2008 had been enacted before January 1, 2008. (b) Actions taken under IC 12-8-6 (expired) after June 30, 2011, are legalized and validated to the extent that those actions would have been legal and valid if IC 12-8-6 had not expired on June 30, 2011. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-1 Establishment

Sec. 1. The office of Medicaid policy and planning is established. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-2 Administrator

Sec. 2. The secretary shall appoint an administrator responsible for management of the office. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-4 Development and coordination of state Medicaid policy

Sec. 4. Under the direction of the secretary, the office shall develop and coordinate Medicaid policy for the state. As added by P.L.160-2012, SEC.18. Amended by P.L.109-2014, SEC.17.

Ind. Code § 12-8-6.5-5 Rules

Sec. 5. The secretary may adopt rules under IC 4-22-2 to implement this chapter and the state Medicaid program. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-6 Administrative adjudication; secretary; ultimate authority

Sec. 6. (a) For purposes of IC 4-15-10.5 and IC 4-21.5, the secretary is the ultimate authority for the state Medicaid applicant and eligibility appeals. (b) The secretary shall adopt rules under IC 4-22-2 to specify any additional necessary procedures for administrative review of an agency action under IC 4-21.5 and the state Medicaid program. As added by P.L.160-2012, SEC.18. Amended by P.L.92-2025, SEC.10.

Ind. Code § 12-8-6.5-7 Written memorandum of understanding; division of mental health and addiction

Sec. 7. The office and the division of mental health and addiction shall develop a written memorandum of understanding that provides the following: (1) Program responsibilities for the provision of care and treatment for individuals with a mental illness. (2) Responsibilities to educate and inform vendors of the proper billing procedures. (3) Responsibilities in administering the state plan. (4) Responsibilities for Medicaid fiscal and quality accountability and audits for mental health services. (5) That the division shall recommend options and services to be reimbursed under the state plan. (6) That the office and the division agree that, within the limits of 42 U.S.C. 1396 et seq., individuals with a mental illness cannot be excluded from services on the basis of diagnosis unless these services are otherwise provided and reimbursed under the state plan. (7) That the office shall seek review and comment from the division before the adoption of rules or standards that may affect the service, programs, or providers of medical assistance services for individuals with a mental illness. (8) That the division shall develop rate setting policies for medical assistance services for individuals with a mental illness. (9) Policies to facilitate communication between the office and the division. (10) Any additional provisions that enhance communication between the office and the division or facilitate more efficient or effective delivery of mental health services. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-8 Memorandum of understanding with division of disability, aging, and rehabilitative services

Sec. 8. The office and the division of disability, aging, and rehabilitative services shall develop a written memorandum of understanding that provides the following: (1) Program responsibilities for the provision of care and treatment for individuals with a developmental disability and long term care recipients. (2) Responsibilities to educate and inform vendors of the proper billing procedures. (3) Responsibilities in administering the state plan. (4) Responsibilities for Medicaid fiscal and quality accountability and audits for developmental disability and long term care services. (5) That the division shall recommend options and services to be reimbursed under the state plan. (6) That the office and the division agree that, within the limits of 42 U.S.C. 1396 et seq., individuals with a developmental disability and long term care recipients cannot be excluded from services on the basis of diagnosis unless these services are otherwise provided and reimbursed under the state plan. (7) That the office shall seek review and comment from the division before the adoption of rules or standards that may affect the service, programs, or providers of medical assistance services for individuals with a developmental disability and long term care recipients. (8) That the division shall develop rate setting policies for medical assistance services for individuals with a developmental disability and long term care recipients. (9) That the office, with the assistance of the division, shall apply for waivers from the United States Department of Health and Human Services to fund community and home based long term care services as alternatives to institutionalization. (10) Policies to facilitate communication between the office and the division. (11) Any additional provisions that enhance communication between the office and the division or facilitate more efficient or effective delivery of developmental disability or long term care services. As added by P.L.160-2012, SEC.18. Amended by P.L.122-2026, SEC.30.

Ind. Code § 12-8-6.5-9 Written memorandum of understanding; department of child services; division of family resources

Sec. 9. The office, the division of family resources, and the department of child services shall develop a written memorandum of understanding that provides the following: (1) Program responsibilities for the provision of care and treatment for recipients served by the division. (2) Responsibilities to educate and inform vendors of the proper billing procedures. (3) Responsibilities in administering the state plan. (4) Responsibilities for Medicaid fiscal and quality accountability and audits for services administered by the division. (5) That the division shall recommend options and services to be reimbursed under the Medicaid state plan. (6) That the office and the division agree that, within the limits of 42 U.S.C. 1396 et seq., recipients served by the division cannot be excluded from services on the basis of diagnosis unless these services are otherwise provided and reimbursed under the state plan. (7) That the office shall seek review and comment from the division before the adoption of rules or standards that may affect the service, programs, or providers of medical assistance services for recipients served by the division. (8) That the division shall develop rate setting policies for medical assistance services administered by the division. (9) Policies to facilitate communication between the office and the division. (10) Any additional provisions that enhance communication between the office and the division or facilitate more efficient or effective delivery of services. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-10 Reduction of reimbursement rates; over the counter drugs; schedules; strategies; case management

Sec. 10. (a) The office shall reduce reimbursement rates for over-the-counter drugs by ten percent (10%) not later than July 1, 2001. (b) The office shall implement a Maximum Allowable Cost schedule for off-patent drugs not later than November 1, 2001. (c) Not later than January 1, 2002, the office shall implement an information strategy directed to high volume prescribers. (d) Beginning July 1, 2002, the office shall phase in case management for aged, blind, and disabled Medicaid recipients. As added by P.L.160-2012, SEC.18.

Ind. Code § 12-8-6.5-12 Effect of hospital assessment fees imposed under P.L. 229-2011, SECTION 281

Sec. 12. (a) As used in this section, "SECTION 281" refers to P.L.229-2011, SECTION 281. (b) Notwithstanding the expiration of SECTION 281, the office of Medicaid policy and planning may: (1) collect an unpaid hospital assessment fee under SECTION 281 owed by a hospital; (2) refund a hospital assessment fee paid by the hospital under SECTION 281; (3) make payments for programs described in subsection (f) of SECTION 281; (4) make payments to hospitals in accordance with subsection (m) of SECTION 281; and (5) make payments to private psychiatric institutions in accordance with subsection (o) of SECTION 281; at any time, including after the expiration of SECTION 281. (c) The office of Medicaid policy and planning may: (1) collect an unpaid hospital assessment fee under IC 16-21-10 owed by a hospital; (2) refund a hospital assessment fee paid by a hospital under IC 16-21-10; (3) make payments for programs described in IC 16-21-10-8(a); (4) make payments under IC 16-21-10-11; and (5) make payments under IC 16-21-10-13; at any time, including after the hospital assessment fee ceases to be collected under IC 16-21-10. As added by P.L.205-2013, SEC.181.

Ind. Code § 12-8-6.5-14 Doula reimbursement advisory board established; members; reporting requirement

Sec. 14. (a) As used in this section, "board" refers to the doula reimbursement advisory board established by subsection (b). (b) The doula reimbursement advisory board is established for the purpose of making recommendations to the office of the secretary regarding appropriate reimbursement methodologies for doula services. (c) The board is comprised of the following members: (1) Four (4) legislative members appointed as follows: (A) One (1) member of the senate, appointed by the president pro tempore of the senate. (B) One (1) member of the senate, appointed by the minority leader of the senate. (C) One (1) member of the house of representatives, appointed by the speaker of the house of representatives. (D) One (1) member of the house of representatives, appointed by the minority leader of the house of representatives. (2) Nine (9) lay members appointed as follows, subject to subsections (d) and (e): (A) One (1) member appointed by the governor. (B) One (1) member appointed by the president pro tempore of the senate. (C) One (1) member appointed by the minority leader of the senate. (D) One (1) member appointed by the speaker of the house of representatives. (E) One (1) member appointed by the minority leader of the house of representatives. (F) One (1) member appointed by the secretary. (G) One (1) member appointed by the state health commissioner. (H) One (1) member appointed by the director of the department of child services. (I) One (1) member appointed by the chief operating officer of the Indiana Minority Health Coalition. (d) A lay member of the board must be a doula, doula administrator, or other birthing professional. (e) The lay membership of the board must be racially and ethnically diverse. (f) In making recommendations to the office of the secretary under subsection (b), the board shall study and take into account doula reimbursement methodologies used by other states. (g) On or before July 1, 2027, and July 1 biennially thereafter, the board shall submit a report to the executive director of the legislative services agency, in an electronic format under IC 5-14-6, for review by the interim committee on government in accordance with IC 1-1-15.5-4 and IC 2-5-1.3-13(g). The report shall describe: (1) official action taken; and (2) actionable items considered; by the board during the preceding two (2) years. As added by P.L.180-2022(ss), SEC.13. Amended by P.L.161-2025, SEC.18.

Ind. Code § 12-8-6.5-14.1 Doula reimbursement advisory board; staff support; election of chair and vice chair; meetings

Sec. 14.1. (a) As used in this section, "board" refers to the doula reimbursement advisory board established by section 14 of this chapter. (b) The family and social services administration shall provide staff support to the board. (c) The members of the board shall annually elect a chair and vice chair from the membership of the board. Before August 1, 2024, the office of the secretary shall schedule a meeting of the board to elect the chair and vice chair. Thereafter, the board shall meet at the call of the chair. The chair elected under this subsection shall serve until a successor is elected in the following calendar year. As added by P.L.42-2024, SEC.77.

Ind. Code § 12-8-6.5-14.3 Doula reimbursement advisory board; terms; vacancies

Sec. 14.3. (a) As used in this section, "board" refers to the doula reimbursement advisory board established by section 14 of this chapter. (b) A member of the general assembly appointed to the board serves a two (2) year term that expires June 30 of an odd-numbered year. (c) The terms of the lay members of the board expire as follows: (1) For a member appointed under section 14(c)(2)(B), 14(c)(2)(C), 14(c)(2)(D), or 14(c)(2)(E) of this chapter, June 30 of each odd-numbered year. (2) For a member appointed under section 14(c)(2)(A), 14(c)(2)(F), 14(c)(2)(G), 14(c)(2)(H), or 14(c)(2)(I) of this chapter, June 30, 2027, and every fourth year thereafter. (d) A member of the board serves at the pleasure of the appointing authority and may be reappointed to successive terms. (e) A vacancy on the board shall be filled by the appropriate appointing authority. An individual appointed to fill a vacancy serves for the unexpired term of the individual's predecessor. As added by P.L.42-2024, SEC.78. Amended by P.L.1-2025, SEC.166.

Ind. Code § 12-8-6.5-15 Doula reimbursement advisory board; reimbursement of member expenses

Sec. 15. (a) As used in this section, "board" refers to the doula reimbursement advisory board established by section 14 of this chapter. (b) Each member of the board who is not a state employee is entitled to reimbursement for mileage, traveling expenses as provided under IC 4-13-1-4, and other expenses actually incurred in connection with the member's duties as provided in the state policies and procedures established by the Indiana department of administration and approved by the budget agency. (c) Each member of the board who is a state employee is entitled to reimbursement for traveling expenses as provided under IC 4-13-1-4 and other expenses actually incurred in connection with the member's duties as provided in the state policies and procedures established by the Indiana department of administration and approved by the budget agency. (d) Each member of the board who is a member of the general assembly is entitled to receive the same per diem, mileage, and travel allowances paid to legislative members of interim study committees established by the legislative council. Per diem, mileage, and travel allowances paid under this subsection shall be paid from appropriations made to the legislative council or the legislative services agency. (e) Expenses paid under subsections (b) and (c) shall be paid from appropriations made to the family and social services administration. As added by P.L.42-2024, SEC.79.

Ind. Code § 12-8-6.5-16 Medicaid program review and reporting; Medicaid oversight committee

Sec. 16. The secretary and the office of Medicaid policy and planning shall do each of the following as it pertains to the state Medicaid program: (1) Review monthly reports on the Medicaid program service utilization to identify trends and risks within the state Medicaid program. (2) Complete and post publicly on the office of the secretary's website: (A) monthly financial reports or expenditures and revenues for each state Medicaid program; and (B) commentary providing context for each monthly financial report. (3) Submit a quarterly report to the budget committee and the Medicaid oversight committee established by IC 2-5-54-2 containing each report required under subdivision (2) and a summary of the overall financial trends for the entire quarter. As added by P.L.182-2025, SEC.7.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/12Fetched: 10/17/2026

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