IC 16-51-1-1: Applicability

Sec. 1. (a) This chapter applies to an Indiana nonprofit hospital system.

(b) This chapter does not apply to the following:

(1) A hospital licensed under IC 16-21-2 that is operated by:

(A) a county;

(B) a city pursuant to IC 16-23; or

(C) the health and hospital corporation established under IC 16-22-8.

(2) A critical access hospital that meets the criteria under 42 CFR 485.601 through 42 CFR 485.647.

(3) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).

(4) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).

(5) An oncology treatment facility, even if owned or operated by a hospital.

(6) A health facility licensed under IC 16-28.

(7) A community mental health center certified under IC 12-21-2-3(5)(C).

(8) A private mental health institution licensed under IC 12-25, including a service facility location for a private mental health institution and reimbursed as a hospital-based outpatient service site.

(9) A facility that:

(A) has a place of service code 20, as published in the place of service code set maintained by the federal Centers for Medicare and Medicaid Services; and

(B) is located in a municipality with a population of less than twenty thousand (20,000).

(10) Services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders in:

(A) any part of a hospital, whether or not a distinct part; or

(B) an outpatient off campus site that is within thirty-five (35) miles of a hospital.

(11) Billing under the Medicare program or a Medicare advantage plan.