{"data":{"id":"us-in/ic-16-51-1-1","jurisdiction":"us-in","citation":"IC 16-51-1-1","heading":"Applicability","body":"Sec. 1. (a) This chapter applies to an Indiana nonprofit hospital system.\n(b) This chapter does not apply to the following:\n(1) A hospital licensed under IC 16-21-2 that is operated by:\n(A) a county;\n(B) a city pursuant to IC 16-23; or\n(C) the health and hospital corporation established under IC 16-22-8.\n(2) A critical access hospital that meets the criteria under 42 CFR 485.601 through 42 CFR 485.647.\n(3) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).\n(4) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).\n(5) An oncology treatment facility, even if owned or operated by a hospital.\n(6) A health facility licensed under IC 16-28.\n(7) A community mental health center certified under IC 12-21-2-3(5)(C).\n(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.\n(9) A facility that:\n(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\n(B) is located in a municipality with a population of less than twenty thousand (20,000).\n(10) Services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders in:\n(A) any part of a hospital, whether or not a distinct part; or\n(B) an outpatient off campus site that is within thirty-five (35) miles of a hospital.\n(11) Billing under the Medicare program or a Medicare advantage plan.","path":["TITLE 16. HEALTH","ARTICLE 51. HEALTH CARE REQUIREMENTS","Chapter 1. Health Care Billing"],"source_url":"https://iga.in.gov/ic/2026/Title_16.html#16-51-1-1","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-11T20:02:18Z","sha256":"c75d00d9eac3d24dd420dbf5263aa0d1ebc7f7c673127a86720508cabb76693a","source_id":"us-in","stale":false,"prev":"us-in/ic-16-51-1-0.5","next":"us-in/ic-16-51-1-2"},"notice":"GroundRules: Original legal text. Not legal advice."}