Sec. 1.2. (a) This section applies only to state fiscal years beginning after June 30, 2021, and ending before July 1, 2023.
(b) As used in this section, "children's hospital" means:
(1) a freestanding general acute care hospital that:
(A) is designated by the Medicare program as a children's hospital; or
(B) furnishes inpatient and outpatient health care services to patients who are predominantly individuals less than nineteen (19) years of age; or
(2) a facility located within a freestanding general acute care hospital that:
(A) is designated by the Medicare program as a children's hospital; or
(B) furnishes inpatient and outpatient health care services to patients who are predominately individuals less than nineteen (19) years of age.
(c) This section applies to reimbursement for inpatient Medicaid services and outpatient Medicaid services provided to a Medicaid recipient who is less than nineteen (19) years of age at a children's hospital that is located in a state bordering Indiana. This section does not apply to reimbursement for non-emergency medical transportation.
(d) Subject to subsection (a), the office shall reimburse a children's hospital for covered services provided to a Medicaid recipient that is described in subsection (c) at a rate set by the secretary that is based on a reimbursement formula that is:
(1) comparable to the current federal Medicare reimbursement rate for the service provided by the children's hospital; or
(2) one hundred thirty percent (130%) of the Medicaid reimbursement rate for a service that does not have a Medicare reimbursement rate.
(e) Before September 1, 2021, the office shall apply to the United States Department of Health and Human Services for any state plan amendment or Medicaid waiver necessary to implement and administer this section.
(f) The office may adopt rules under IC 4-22-2 necessary for the implementation of this section.
(g) This section expires July 1, 2023.
As added by P.L.132-2021, SEC.2.