CHAPTER 3.5. HOSPITAL CARE FOR THE INDIGENT; ELIGIBILITY FOR ASSISTANCE
IC 12-16-3.5
Chapter 3.5. Hospital Care for the Indigent; Eligibility for
Assistance
IC 12-16-3.5-1
Resident eligibility; emergency care; conditions
Sec. 1. (a) An Indiana resident who meets the income and
resource standards established by the division under section 3 of this
chapter is eligible for assistance to satisfy the resident's financial
obligation for care provided to the resident in a hospital in Indiana
that was necessitated after the onset of a medical condition that was
manifested by symptoms of sufficient severity that the absence of
immediate medical attention would probably result in any of the
following:
(1) Placing the individual's life in jeopardy.
(2) Serious impairment to bodily functions.
(3) Serious dysfunction of a bodily organ or part.
(b) A qualified resident is also eligible for assistance to satisfy the
resident's financial obligation for the care that is a direct
consequence of the medical condition that necessitated the
emergency care.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005,
SEC.5.
IC 12-16-3.5-2
Nonresident eligibility; emergency care; conditions; qualifications
Sec. 2. (a) An individual who is not an Indiana resident is eligible
for assistance to satisfy the individual's financial obligation for the
care provided to the individual in a hospital in Indiana that was
necessitated after the onset of a medical condition that was
manifested by symptoms of sufficient severity that the absence of
immediate medical attention would probably result in any of the
following:
(1) Placing the individual's life in jeopardy.
(2) Serious impairment to bodily functions.
(3) Serious dysfunction of any bodily organ or part.
(b) An individual is eligible for assistance under subsection (a)
only if the following qualifications exist:
(1) The individual meets the income and resource standards
established by the division under section 3 of this chapter.
(2) The onset of the medical condition that necessitated medical
attention occurred in Indiana.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005,
SEC.6.
IC 12-16-3.5-3
Rules establishing income and resource eligibility standards;
adoption; conditions
Sec. 3. (a) The division shall adopt rules under IC 4-22-2 to
establish income and resource eligibility standards for patients whose
care is to be paid under the hospital care for the indigent program.
(b) To the extent possible and subject to this article, rules adopted
under this section must meet the following conditions:
(1) Be consistent with IC 12-15-21-2 and IC 12-15-21-3.
(2) Be adjusted at least one (1) time every two (2) years.
(c) The income and eligibility standards established under this
section do not include any spend down provisions available under
IC 12-15-21-2 or IC 12-15-21-3.
(d) In addition to the conditions imposed under subsection (b),
rules adopted under this section must exclude a Holocaust victim's
settlement payment received by an eligible individual from the
income and eligibility standards for patients whose care is to be paid
for under the hospital care for the indigent program.
As added by P.L.120-2002, SEC.19. Amended by P.L.145-2005,
SEC.7.
IC 12-16-3.5-4
Statement of eligibility and benefit standards; requirement
Sec. 4. A provider may provide a patient, and if the patient is not
able to understand the statement, the patient's representative, with a
statement of the eligibility and benefit standards adopted by the
division if at least one (1) of the following occurs:
(1) The provider has reason to believe that the patient may be
indigent.
(2) The patient requests a statement of the standards.
As added by P.L.120-2002, SEC.19. Amended by P.L.212-2007,
SEC.12; P.L.218-2007, SEC.23.
IC 12-16-3.5-5
Repealed
(Repealed by P.L.255-2003, SEC.55.)