{"data":{"id":"us-in/ic-27-13-36.2-4.7","jurisdiction":"us-in","citation":"IC 27-13-36.2-4.7","heading":"Prohibition on retroactive rate reduction; notice requirement","body":"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).\n(b) A health maintenance organization shall provide at least sixty (60) days notice by:\n(1) mail or electronic mail to a provider; and\n(2) posting on the health maintenance organization's website;\nbefore prospectively reducing the reimbursement rate for any CPT code (as defined in IC 27-1-37.5-3).","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 36.2. Provider Payment"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-36.2-4.7","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"81796ca590968d63aae0cbbe79ab38a4accb16de8f0f16fbc8ce4f4ab88362ee","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-36.2-4.5","next":"us-in/ic-27-13-36.2-5"},"notice":"GroundRules: Original legal text. Not legal advice."}