Sec. 7. (a) This section applies to claims submitted for payment under the program by a nursing facility participating in the program. (b) The managed care organization shall pay, deny, or suspend each claim submitted by a nursing facility provider for payment under the program not later than: (1) twenty-one (21) days after the claim was electronically filed; or (2) thirty (30) days after a claim has been filed on paper; from receipt by the managed care organization. (c) If the managed care organization: (1) fails to pay a clean claim in the time required under this section; or (2) denies or suspends a claim that is subsequently determined to have been a clean claim when the claim was filed; the managed care organization shall pay the provider interest on the Medicaid allowable amount of the claim as set forth in this section. (d) Interest paid under subsection (c): (1) accrues beginning: (A) twenty-two (22) days from the date the claim is filed under subsection (b)(1); or (B) thirty-one (31) days from the date the claim is filed under subsection (b)(2); and (2) stops accruing on the date the managed care organization pays the claim. (e) A managed care organization shall pay interest under subsection (c) to a provider at the rate established for Medicare overpayments and underpayments, as set forth in 42 CFR 405.378. IC 12-15-13 Chapter 13. Provider Payment; General 12-15-13-0.1 Application of certain amendments to chapter 12-15-13-0.4 "Office" 12-15-13-0.5 "Clean claim" 12-15-13-0.6 "Clean claim" for purposes of IC 12-15-14 12-15-13-0.7 Addition, deletion, or modification of locators 12-15-13-1 Payment, denial, or suspension of claims submitted by nursing facilities; time; notice of suspension or denial 12-15-13-1.5 Payment of interest on claims submitted by nursing facilities 12-15-13-1.6 Payment, denial, or suspension of claims; notice of suspension or denial 12-15-13-1.7 Timing of payment or denial of claims; payment of interest 12-15-13-1.8 Covered population; risk based managed care program; penalty payments 12-15-13-2 Payments to providers; requirements; federal law or regulations specifying reimbursement criteria 12-15-13-3 Repealed 12-15-13-3.5 Recovery of overpayment to noninstitutional provider; appeal 12-15-13-4 Recovery of overpayment to institutional provider; appeal 12-15-13-5 Repealed 12-15-13-6 Notices or bulletins; timing; noncompliance 12-15-13-7 Permitted forms 12-15-13-7.2 Use of diagnostic or procedure codes 12-15-13-8 Expired 12-15-13-9 Reimbursement for providers at federally qualified health centers and rural health clinics
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