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§ 12-15-23-5-2 — Indiana Law | CourtGPT
  1. Home/
  2. Laws/
  3. Indiana/
  4. Title 12 - Human Services/
  5. Article 15 - Medicaid/
  6. Chapter 23.5 - Coordination of Benefits Study12-15-23.5-1. "Covered Entity"/
  7. § 12-15-23-5-2
Indiana Legal Code

§ 12-15-23-5-2

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(a) Before January 1, 2008, the office shall:(1) examine all Medicaid claims paid after January 1, 2001, and before July 1, 2007;(2) determine which claims examined under subdivision (1) were eligible for payment by a third party other than Medicaid; and(3) recover the claims that were determined under subdivision (2) to be eligible for payment by a third party other than Medicaid.(b) The office shall require through an eligibility and benefit request, and a covered entity shall provide, any information necessary for the office to complete the examination required by this section. The office, after notice and hearing, may impose a fine not to exceed one thousand dollars ($1,000) for each refusal by a covered entity to provide information concerning an eligibility and benefit request for a Medicaid recipient requested by the office under this section.As added by P.L.187-2007, SEC.3.