IC 27-13-36.2-4.7 — Prohibition on retroactive rate reduction; notice requirement

Bills adding this section

• HB 12712026Signed into laweffective July 1, 2026

  Payment of health claims.

• HB 12012026In committeeeffective July 1, 2026

  Various mental health and insurance matters.

Section text

Sec. 4.7. (a) A health maintenance organization may not retroactively reduce the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3). (b) A health maintenance organization shall provide at least sixty (60) days notice by: (1) mail or electronic mail to a provider; and (2) posting on the health maintenance organization's website; before prospectively reducing the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3).

As added by P.L.88-2026, SEC.14.

Source: official publisher (2026 edition)

Sections IC 27-13-36.2-4.7 cites

• IC 27-1-37.5-3