CHAPTER 6. INDIVIDUAL CONTRIBUTIONS

IC 12-15-6
    Chapter 6. Individual Contributions

IC 12-15-6-1
Enrollment fees, premiums, or other charges as condition ofeligibility
    Sec. 1. Except as provided in section 2 of this chapter, andbeginning July 1, 2002, except as provided in IC 12-15-41, anenrollment fee, a premium, or a similar charge may not be imposedas a condition of an individual's eligibility for Medicaid.
As added by P.L.2-1992, SEC.9. Amended by P.L.287-2001, SEC.8.

IC 12-15-6-2
Copayment; application for certain services
    Sec. 2. The office shall apply a copayment for certain types ofMedicaid.
As added by P.L.2-1992, SEC.9.

IC 12-15-6-3
Copayment; time for making
    Sec. 3. (a) A copayment shall be made by the recipient ofMedicaid upon receipt of assistance. If a recipient of Medicaid doesnot make the copayment, the office may not require the provider tocollect the copayment. However, a provider may not voluntarilywaive the copayment by the recipient under this section.
    (b) The office may adopt rules under IC 4-22-2 to prescribe thatthe copayment amount is not deducted from the reimbursement to theprovider for services provided by the provider if a recipient ofMedicaid does not make the copayment.
As added by P.L.2-1992, SEC.9. Amended by P.L.114-1996, SEC.1.

IC 12-15-6-4
Services to which copayment applies; exceptions
    Sec. 4. A copayment applies to all services except the following:
        (1) Services furnished to individuals less than eighteen (18)years of age.
        (2) Services furnished to pregnant women if the services relateto the pregnancy or to any other medical condition that mightcomplicate the pregnancy.
        (3) Services furnished to individuals who are inpatients inhospitals, nursing facilities, including intermediate carefacilities for the mentally retarded, and other medicalinstitutions.
        (4) Emergency services as defined by regulations adopted bythe Secretary of the United States Department of Health andHuman Services.
        (5) Services furnished to individuals by health maintenanceorganizations in which the individuals are enrolled.
        (6) Family planning services and supplies described in 42U.S.C. 1396d(a)(4)(C).        (7) Physical examinations to determine the need for medicalservices.
As added by P.L.2-1992, SEC.9.

IC 12-15-6-5
Provider to charge maximum copayment allowable
    Sec. 5. A provider shall charge the maximum copaymentallowable under federal statute or regulation.
As added by P.L.2-1992, SEC.9.

IC 12-15-6-6
Repealed
    (Repealed by P.L.278-1993(ss), SEC.29.)

IC 12-15-6-7
Repealed
    (Repealed by P.L.278-1993(ss), SEC.29.)