CHAPTER 37. MEDICAID DEMONSTRATION PROJECTS

IC 12-15-37
    Chapter 37. Medicaid Demonstration Projects

IC 12-15-37-1
Review of Medicaid recipient populations
    Sec. 1. The state department of health, with guidance and inputfrom the office, shall review Medicaid recipient populations todetermine which populations might benefit from transfer to aninsurance product. Populations to review include participants in:
        (1) the IMPACT program; and
        (2) certain geographic populations, including rural populations;
to determine the fiscal and other effects of a demonstration projectestablished for the benefit of these recipients.
As added by P.L.93-1995, SEC.4.

IC 12-15-37-2
Waivers from Department of Health and Human Services; eligibleprojects
    Sec. 2. After completing the review under section 1 of thischapter, the office, under the guidance of the state department ofhealth, may seek waivers from the United States Department ofHealth and Human Services to establish one (1) or more of thefollowing demonstration projects, the goal of each of which is toprovide a more cost effective means of providing health carecoverage for certain Medicaid eligible individuals:
        (1) Enrolling the designated recipients in prepaid health caredelivery plans.
        (2) Establishing medical savings accounts for designatedrecipients.
        (3) Purchasing a private insurance product for designatedrecipients.
        (4) Notwithstanding IC 12-15-5, redesigning the package ofMedicaid benefits and services offered to designated recipients.Any package offered to designated recipients under thissubdivision must include those services that may be providedwithin the scope of a provider's license if the service is coveredunder IC 12-15-12.
        (5) Integrating the designated recipients into an alreadyestablished risk pool.
As added by P.L.93-1995, SEC.4.

IC 12-15-37-3
Affidavit
    Sec. 3. The state department of health and the office may notimplement any of the demonstration projects under section 2 of thischapter until the office, under the guidance of the state departmentof health, files an affidavit with the governor that attests that thefederal waivers applied for under section 2 of this chapter are ineffect. The state department of health and the office shall file theaffidavit under this section not later than five (5) days after the state

department of health or the office are notified that the waiver isapproved.
As added by P.L.93-1995, SEC.4.

IC 12-15-37-4
Time limit for implementation
    Sec. 4. If a waiver is received from the United States Departmentof Health and Human Services and the governor receives theaffidavit filed under section 3 of this chapter, the state department ofhealth, with guidance and input from the office, shall implement thedemonstration project for which the waiver was granted not morethan ninety (90) days after the governor receives the affidavit.
As added by P.L.93-1995, SEC.4.

IC 12-15-37-5
Rules for implementation
    Sec. 5. The state department of health, with guidance and inputfrom the office, shall adopt rules under IC 4-22-2 to implement ademonstration project for which a waiver is granted under thischapter.
As added by P.L.93-1995, SEC.4.

IC 12-15-37-6
Waiver restrictions
    Sec. 6. If the state department of health and the office seek awaiver under this chapter to establish a managed care program orother demonstration project, the state department of health and theoffice shall not seek a waiver of:
        (1) federally qualified health centers and rural health clinicservices as mandatory Medicaid services under:
            (A) 42 U.S.C. 1396a(10)(A);
            (B) 42 U.S.C. 1396d(a)(2)(B); and
            (C) 42 U.S.C. 1396d(a)(2)(C); or
        (2) reasonable cost reimbursement for federally qualified healthcenters and rural health clinics under 42 U.S.C.1396a(a)(13)(C).
As added by P.L.93-1995, SEC.4. Amended by P.L.14-2000, SEC.30.

IC 12-15-37-7
Stroke prevention and treatment programs
    Sec. 7. The office and the state department of health maycollaborate with the American Heart Association to reduce the costof stroke treatment and improve the outcome of stroke patients in thestate. The collaboration may include the following:
        (1) The development and implementation of a comprehensivestatewide public education program on stroke prevention that istargeted at high-risk populations and at geographical areas thathave a high incidence of stroke.
        (2) The recommendation and dissemination of guidelines on thetreatment of stroke patients, including emergency stroke care.        (3) The development of a program that would ensure that thepublic and health care providers are informed concerning themost effective stroke prevention strategies.
        (4) The dissemination of information concerning public andprivate grant opportunities available for hospitals and providersof emergency medical services for the purposes of improvingstroke patient care.
As added by P.L.224-2003, SEC.82.