IC 12-15-2.3
    Chapter 2.3. Presumptive Eligibility for Women With Breast orCervical Cancer

IC 12-15-2.3-1
Applicability of chapter
    Sec. 1. This chapter applies to a woman who is eligible forMedicaid under IC 12-15-2-13.5.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-2
"Qualified entity" defined
    Sec. 2. As used in this chapter, "qualified entity" means an entitythat:
        (1) is eligible to receive payments and provide items andservices under this article;
        (2) provides outpatient hospital services, rural health clinicservices, and any other ambulatory services offered by a ruralhealth clinic, or clinic services furnished by or under thedirection of a licensed physician; and
        (3) meets all other requirements set forth in 42 U.S.C. 1920B.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-3
Qualified entities to establish eligibility
    Sec. 3. A qualified entity may establish the presumptive eligibilityof a woman described in section 1 of this chapter.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-4
Identity of qualified entities
    Sec. 4. The office shall consider the following to be qualifiedentities:
        (1) A disproportionate share provider under IC 12-15-16-1(a) orIC 12-15-16-1(b).
        (2) A federally qualified health clinic.
        (3) A rural health clinic.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-5
Qualified entities provided with application forms and information
    Sec. 5. The office shall provide each qualified entity with thefollowing:
        (1) Application forms for Medicaid.
        (2) Information on how to assist a woman described in section1 of this chapter in completing and filing the application forms.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-6
Period during which services provided    Sec. 6. The office shall provide Medicaid services to a womandescribed in section 1 of this chapter during a period that:
        (1) begins on the date on which a qualified entity determines onthe basis of preliminary information that the woman is eligiblefor Medicaid under IC 12-15-2-13.5; and
        (2) ends on the earlier of the following:
            (A) The date on which a determination is made by arepresentative of the county office with respect to theeligibility of the woman under IC 12-15-2-13.5.
            (B) The last day of the month following the month in whichthe qualified entity makes the determination described insubdivision (1).
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-7
Woman's eligibility determined by qualified entity
    Sec. 7. A woman described in section 1 of this chapter may onlyhave a presumptive eligibility determination made by an entitydescribed in section 2 of this chapter.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-8
Actions taken after establishment of eligibility
    Sec. 8. A qualified entity that determines that a woman describedin section 1 of this chapter is presumptively eligible for Medicaidshall do the following:
        (1) Notify the office of the determination within five (5)working days after the date on which the determination is made.
        (2) Inform the woman at the time a determination is made thatan application for Medicaid is required to be made at the countyoffice in the county where the woman resides or an enrollmentcenter (as provided in IC 12-15-4-1) not later than the last dayof the month following the month during which thedetermination is made.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-9
Completion of application
    Sec. 9. If a woman described in section 1 of this chapter isdetermined to be presumptively eligible for Medicaid under thischapter, the woman must complete an application for Medicaid asprovided in IC 12-15-4 not later than the last day of the monthfollowing the month during which the determination is made.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-10
Face-to-face interview
    Sec. 10. If a woman described in section 1 of this chapter:
        (1) is determined to be presumptively eligible for Medicaidunder this chapter; and        (2) appoints, in writing, an agent of a qualified entity undersection 4 of this chapter as the woman's authorizedrepresentative for purposes of completing all aspects of theMedicaid application process;
the county office shall conduct any face-to-face interview that isnecessary to determine the woman's eligibility for Medicaid with thewoman's authorized representative.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-11
Reimbursement for care during presumptive eligibility
    Sec. 11. If a woman described in section 1 of this chapter is:
        (1) determined to be presumptively eligible for Medicaid underthis chapter; and
        (2) subsequently determined not to be eligible for Medicaid;
a qualified entity under section 4(1) or 4(2) of this chapter thatdetermined that the woman was presumptively eligible for Medicaidshall reimburse the office for all funds expended by the office inpaying for care for the woman during the woman's period ofpresumptive eligibility.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-12
Rules
    Sec. 12. The office shall adopt rules under IC 4-22-2 to implementthis chapter, including rules that may impose additional requirementsfor qualified entities that are consistent with federal regulations.
As added by P.L.152-2001, SEC.3.

IC 12-15-2.3-13
Annual appropriation to provide services
    Sec. 13. There is annually appropriated to the office of thesecretary of family and social services from the state general fund anamount sufficient to provide services to those individuals eligible forMedicaid under IC 12-15-2-13.5 and this chapter.
As added by P.L.16-2009, SEC.18.