Ind. Code ch. 21-38-6

Ind. Code § 21-38-6-1 Reimbursement of first steps program for early intervention services payments

Sec. 1. (a) An employee health plan that provides coverage for early intervention services shall reimburse the first steps program a monthly fee established by the division of disability, aging, and rehabilitative services. Except when the monthly fee is less than the product determined under IC 12-12.7-2-23(b), the monthly fee shall be provided instead of claims processing of individual claims. (b) An employee health plan may not require authorization for services specified in the covered individual's individualized family service plan, if those services are a covered benefit under the plan, once the individualized family service plan is signed by a physician, an advanced practice registered nurse, or a physician assistant. (c) The department of insurance shall adopt rules under IC 4-22-2 to ensure compliance with this section. [Pre-2007 Higher Education Recodification Citation: 20-12-3.2-2.] As added by P.L.2-2007, SEC.279. Amended by P.L.229-2011, SEC.242; P.L.111-2020, SEC.10; P.L.133-2020, SEC.18; P.L.143-2022, SEC.53; P.L.122-2026, SEC.107.

Ind. Code § 21-38-6-2 Reimbursement not to be applied to lifetime coverage limit

Sec. 2. The reimbursement required under section 1 of this chapter may not be applied to any annual or aggregate lifetime limit on the first steps child's coverage under the employee health plan. [Pre-2007 Higher Education Recodification Citation: 20-12-3.2-4.] As added by P.L.2-2007, SEC.279.

Ind. Code § 21-38-6-3 Payment of deductibles, copayments, or other expenses

Sec. 3. The first steps program may pay required deductibles, copayments, or other out-of-pocket expenses for a first steps child directly to a provider. An employee health plan shall apply any payments made by the first steps program to the employee health plan's deductibles, copayments, or other out-of-pocket expenses according to the terms and conditions of the employee health plan. [Pre-2007 Higher Education Recodification Citation: 20-12-3.2-5.] As added by P.L.2-2007, SEC.279.