Sec. 7.2. (a) As used in this section, "provider" has the meaning set forth in IC 27-8-11-1 . (b) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection: (1) the office shall for all purposes begin using the most current version of the: (A) current procedural terminology (CPT); (B) international classification of diseases (ICD); (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM); (D) current dental terminology (CDT); (E) Healthcare common procedure coding system (HCPCS); and (F) third party administrator (TPA); codes under which the office processes claims for services provided under the Medicaid program; and (2) a provider shall begin using the most current version of the: (A) current procedural terminology (CPT); (B) international classification of diseases (ICD); (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM); (D) current dental terminology (CDT); (E) Healthcare common procedure coding system (HCPCS); and (F) third party administrator (TPA); codes under which the provider submits claims for payment for services provided under the Medicaid program. (c) If a provider provides services that are covered under the Medicaid program: (1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (b); and (2) before the office begins using the most current version of the diagnostic or procedure code; the office shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
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