760 IAC 1-21-8

760 IAC 1-21-8 Payment into patient's compensation fund; annual surcharge for ancillary provider

Last amended: 2025Year: 2027Length: 381 wordsOfficial source

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.
760 IAC 1-21-8: 760 IAC 1-21-8 Payment into patient's compensation fund; annual surcharge for ancillary provider | Justis AI