Ind. Code § 12-15-5-5
Office may provide drug coverage; requirements for drug coverage in managed care
Indiana · Indiana Code Title 12 — Human Services · Status: effective
Cite this
- Citation
- Ind. Code § 12-15-5-5, Office may provide drug coverage; requirements for drug coverage in managed care, Indiana, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1628035
- Permanent ID
ys:prov:1628035@1- SHA-256
94bff89b58ec9f2fcb86a90fd2fe44ca5d89bca28911979a0dc9a856238abdf2
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
Sec. 5.
(a) The office may provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program.
(b) If the office provides a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program:
(1) the office shall develop a procedure and provide the recipient's risk based managed care provider with information concerning the recipient's prescription drug utilization for the risk based managed care provider's case management program; and
(2) the provisions of IC 12-15-35.5 apply.
(c) If the office does not provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program, a managed care organization shall provide coverage and reimbursement for outpatient single source legend drugs subject to IC 12-15-35-46, IC 12-15-35-47, and IC 12-15-35.5.