IC 16-41-19.5-4: Amount paid by state department to applicants

Sec. 4. (a) The state department shall determine the maximum amount the state department will pay each eligible post-organ transplant program applicant based on the following criteria:

(1) Available money.

(2) Covered immunosuppressive drugs.

(3) The terms of any contract between the state department and the patient's health care provider.

(4) The reimbursement rate for a post-organ transplant drug may not be greater than the Medicaid reimbursement rate for the drug, minus a copayment by the recipient.

(b) The state health commissioner may restrict or categorize payments for post-organ transplant drugs to meet budgetary limitations.