IC 12-15-33.5
    Chapter 33.5. Medicaid Clinical Advisory Committee

IC 12-15-33.5-1
"Committee" defined
    Sec. 1. As used in this chapter, "committee" refers to theMedicaid clinical advisory committee established under this chapter.
As added by P.L.42-1995, SEC.25.

IC 12-15-33.5-2
Establishment
    Sec. 2. The office shall establish a clinical advisory committee toprovide clinical insights and applications of clinical policy issuesrelated to programs administered by the office, including issuesrelated to:
        (1) current standards of care;
        (2) quality of care;
        (3) accessibility of care;
        (4) appropriateness of care; and
        (5) cost-effectiveness of care.
As added by P.L.42-1995, SEC.25.

IC 12-15-33.5-3
Membership; meetings; consultations; ad hoc clinical advisorycommittee
    Sec. 3. (a) The committee consists of at least seven (7) membersand not more than thirteen (13) members.
    (b) The office's medical consultant shall serve as the chairpersonof the committee.
    (c) The committee shall include at least seven (7) physicians whoare:
        (1) licensed under IC 25-22.5; and
        (2) actively engaged in the practice of medicine.
    (d) The office shall select the remaining committee members fromthe medical provider community to represent the services mostcritical to the Medicaid recipient population.
    (e) The committee shall meet:
        (1) one (1) time every two (2) months; or
        (2) as determined necessary by the chairperson.
    (f) The committee may consult as needed with other persons whohave expertise in any clinical policy issue being considered by thecommittee.
    (g) If the committee established under subsection (a) considers achange in clinical policy related to care and services provided under:
        (1) IC 25-10 (chiropractic services);
        (2) IC 25-14 (dental services);
        (3) IC 25-24 and IC 25-26 (eye care services); or
        (4) IC 25-29 (foot care services);
the office shall establish an ad hoc clinical advisory committeecomprised of three (3) licensed non-physician practitioners directly

affected by the proposed clinical policy change.
    (h) The chairperson of a committee under subsection (g) shall bethe office's medical consultant.
    (i) When an ad hoc clinical advisory committee is establishedunder subsection (g)(3), one (1) member of the committee shall be aphysician licensed under IC 25-22.5 who provides services similarto those provided by an optometrist licensed under IC 25-24 orIC 25-26.
    (j) A committee established under subsection (g) shall provideclinical insights and applications of clinical policy issues relating to:
        (1) current standards of care;
        (2) quality of care;
        (3) accessibility of care;
        (4) appropriateness of care; and
        (5) cost-effectiveness of care.
As added by P.L.42-1995, SEC.25.