Introduced Version
SENATE BILL No. 493
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DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-15-12-2.5.
Synopsis: Medicaid value based contracting. Allows a managed care
organization to enter into a value based contract with a Medicaid
provider to provide services under a risk based managed care program.
Effective: July 1, 2025.
Crider
January 14, 2025, read first time and referred to Committee on Health and Provider
Services.
2025 IN 493—LS 7039/DI 104 Introduced
First Regular Session of the 124th General Assembly (2025)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2024 Regular Session of the General Assembly.
SENATE BILL No. 493
A BILL FOR AN ACT to amend the Indiana Code concerning
Medicaid.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 12-15-12-2.5 IS ADDED TO THE INDIANA
2 CODE AS A NEW SECTION TO READ AS FOLLOWS
3 [EFFECTIVE JULY 1, 2025]: Sec. 2.5. (a) A managed care
4 organization may enter into a value based contract with a
5 Medicaid provider to provide services under a risk based managed
6 care program.
7 (b) A managed care organization:
8 (1) is responsible for ensuring access to high quality care for
9 Medicaid recipients; and
10 (2) may use a value based model that includes any of the
11 following if the Medicaid provider agrees and opts into the
12 arrangement:
13 (A) Case rates.
14 (B) Total cost of care arrangements.
15 (C) Pay for value bonuses.
16 (D) Bundled payments.
2025 IN 493—LS 7039/DI 104