410 IAC 3.2-1-14 "Emergency services" defined

Sec. 14. "Emergency services" means that the emergency department treatment or ambulance transportation is for a medical emergency that is directly related to or necessary to stabilize a child for care of an identified eligible medical condition. Lack of such treatment would cause harm or be life threatening if emergency care was not received. Emergency treatment for nonemergent medical care or conditions that do not require urgent care are not eligible for payment through the CSHCN program.