760 IAC 1-21-8
760 IAC 1-21-8 Payment into patient's compensation fund; annual surcharge for ancillary provider
Cite as Ind. Admin. Code tit. 760, r. 1-21-8
Sec. 8. The annual surcharge for an ancillary provider or independent ancillary provider shall be as follows:
(1) An ancillary provider who is not an independent ancillary provider that purchases insurance as proof of financial responsibility
shall pay one hundred percent (100%) of the premium charged by the insurer.
(2) An ancillary provider who is not an independent ancillary provider that establishes financial responsibility by means other than
insurance under section 3 of this rule shall pay an amount equal to one hundred percent (100%) of the premium that would be charged to the ancillary
provider by IRMIA. The payment must be made each year under IC 34-18-5-3 within thirty (30) days after qualification.
(3) An independent ancillary provider's surcharge shall be calculated at the following percentage of the published surcharge for a
specialty class 1 physician:
(A) Twenty percent (20%) for each dentist.
(B) One hundred thirty percent (130%) for each dentist - oral surgery.
(C) Twelve and one-half percent (12.5%) for each psychologist.
(D) Ninety-two and one-half percent (92.5%) for each podiatrist - no surgery.
(E) One hundred forty-five percent (145%) for each podiatrist - surgery.
(F) Twelve and one-half percent (12.5%) for each optometrist.
(G) Thirty-five percent (35%) for each nurse practitioner.
(H) One hundred fifty percent (150%) for each nurse midwife.
(I) Forty-five percent (45%) for each certified registered nurse anesthetist.
(J) Thirty-five percent (35%) for each physician assistant.
(K) Thirty-five percent (35%) for each clinical nurse specialist.
(L) Forty-five percent (45%) for each anesthesiologist assistant.
(4) An independent ancillary provider who provides health care on a part-time basis shall pay a reduced surcharge as follows:
(A) An independent ancillary provider who provides health care twelve (12) hours per week or less on an annual basis shall receive a credit
equal to seventy-five percent (75%) of the surcharge amount.
(B) An independent ancillary provider who provides health care more than twelve (12) hours but fewer than twenty-five (25) hours per week
on an annual basis shall receive a credit equal to fifty percent (50%) of the surcharge amount.
(C) An independent ancillary provider who provides health care at least twenty-five (25) hours but fewer than thirty-one (31) hours per
week on an annual basis shall receive a credit equal to twenty-five percent (25%) of the surcharge amount.