# Ind. Code § 12-15-16-2: Inpatient utilization rate

> Indiana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-2

## Section

- **Citation:** Ind. Code § 12-15-16-2
- **Heading:** Inpatient utilization rate
- **Jurisdiction:** Indiana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Indiana Code / Title 12 / Article 15 / Chapter 16 / Section 12-15-16-2

## Text

Sec. 2. (a) For purposes of disproportionate share eligibility, a provider's Medicaid inpatient utilization rate is a fraction (expressed as a percentage) where:

(1) the numerator is the provider's total number of Medicaid inpatient days in the most recent year for which an audited cost report is on file with the office; and

(2) the denominator is the total number of the provider's inpatient days in the most recent year for which an audited cost report is on file with the office.

(b) For purposes of this section, "Medicaid inpatient days" includes all acute care days attributable to individuals eligible for Medicaid benefits under a state plan approved under 42 U.S.C. 1396a on the days of service:

(1) whether attributable to individuals eligible for Medicaid in Indiana or any other state;

(2) even if the office did not make payment for any services, including inpatient days that are determined to be medically necessary but for which payment is denied by the office for other reasons; and

(3) including days attributable to Medicaid beneficiaries receiving services through a managed care organization or health maintenance organization.

[Pre-1992 Revision Citation: 12-1-7-60(b).]

As added by P.L.2-1992, SEC.9. Amended by P.L.277-1993(ss), SEC.72; P.L.156-1995, SEC.2; P.L.126-1998, SEC.7; P.L.113-2000, SEC.6; P.L.283-2001, SEC.22; P.L.153-2011, SEC.18.

## Nearby sections

- [Ind. Code § 12-15-16-1 Disproportionate share provider status](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-1.md)
- [Ind. Code § 12-15-16-2 Inpatient utilization rate](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-2.md)
- [Ind. Code § 12-15-16-3 Low income utilization rate; contractual allowances and discounts](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-3.md)
- [Ind. Code § 12-15-16-4 Repealed](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-4.md)
- [Ind. Code § 12-15-16-5 Implementation; federal approval; termination of implementation](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-5.md)
- [Ind. Code § 12-15-16-6 Basic disproportionate payments to hospitals; amount](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-6.md)
- [Ind. Code § 12-15-16-7 Disproportionate share payments when hospital assessment fees are authorized; not applicable when state directed payment program in effect](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-7.md)
- [Ind. Code § 12-15-16-7.3 Disproportionate share payments during state directed payment program in effect; state plan amendment for payments; state mental health institutions](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-7.3.md)
- [Ind. Code § 12-15-16-7.5 Expired](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-7.5.md)
- [Ind. Code § 12-15-16-7.7 Disproportionate share payment plan; requirements; state plan amendment for plan](https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-7.7.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IN_T12_A15_C16_S12-15-16-2. Check the current official text before relying on it. Not legal advice.