Indiana Code 27-1-48-8. Information required to be posted on health plan’s website
Current as of: 2023 | Check for updates
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Sec. 8. (a) Not later than February 1 of each calendar year, a health plan must post on the health plan’s website:
(2) the percentage of the thirty (30) most frequently submitted CPT codes that were approved in the previous calendar year, disaggregated by CPT code.
(1) the thirty (30) most frequently submitted CPT codes that were submitted by participating providers for prior authorization during the previous calendar year; and
Terms Used In Indiana Code 27-1-48-8
- CPT code: refers to the medical billing code that applies to a specific health care service, as published in the Current Procedural Terminology code set maintained by the American Medical Association. See Indiana Code 27-1-48-2
- health plan: means any of the following that provides coverage for health care services:
Indiana Code 27-1-48-4
- prior authorization: means a practice implemented by a health plan through which coverage of a health care service is dependent on the covered individual or health care provider obtaining approval from the health plan before the health care service is rendered. See Indiana Code 27-1-48-6
- Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5
(b) A health plan must maintain the information required under subsection (a) on the health plan’s website, organized by year and on a single and easily accessible web page.
As added by P.L.190-2023, SEC.24.