Indiana Code
Ind. Code § 12-15-13-2 (2026)
Payments to providers; requirements; federal law or regulations specifying reimbursement criteria
✓ current as of May 2026
Sec. 2. (a) Except as provided in IC 12-15-14 and IC 12-15-15, payments to Medicaid providers must be:
(1) consistent with efficiency, economy, and quality of care; and
(2) sufficient to enlist enough providers so that care and services are available under Medicaid, at least to the extent that such care and services are available to the general population in the geographic area.
(b) If federal law or regulations specify reimbursement criteria, payment shall be made in compliance with those criteria.
[Pre-1992 Revision Citation: 12-1-7-17.6(a).]
As added by P.L.2-1992, SEC.9. Amended by P.L.278-1993(ss), SEC.27.
Notes of Decisions
Cited in 2
cases, 1994–2011 · leading case: Cmty. Pharmacies of Indiana, Inc. v. Indiana Fam. & Soc. Servs. Admin. & Its Subdivision, 816 F. Supp. 2d 570 (S.D. Ind. 2011).
Cmty. Pharmacies of Indiana, Inc. v. Indiana Fam. & Soc. Servs. Admin. & Its Subdivision, 816 F. Supp. 2d 570 (S.D. Ind. 2011). “See Ind.Code § 12-15-13-2(a). In fact, Plaintiffs concede that “this state statute .”
Nucleopath, Inc. v. Indiana State Dep't of Pub. Welfare, 639 N.E.2d 656 (Ind. Ct. App. 1994). “-252(c) and I.C. § 12-15-13-2(b), the Department enacted Attachment 4.”
— Ind. Code § 12-15-13-2(a) — 1 case
Cmty. Pharmacies of Indiana, Inc. v. Indiana Fam. & Soc. Servs. Admin. & Its Subdivision, 816 F. Supp. 2d 570 (S.D. Ind. 2011). “See Ind.Code § 12-15-13-2(a). In fact, Plaintiffs concede that “this state statute .”
— Ind. Code § 12-15-13-2(b) — 1 case
Nucleopath, Inc. v. Indiana State Dep't of Pub. Welfare, 639 N.E.2d 656 (Ind. Ct. App. 1994). “-252(c) and I.C. § 12-15-13-2(b), the Department enacted Attachment 4.”
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