Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 10 - POWER Accounts and Copayments
Section 10-12 - Nonpayment of monthly POWER account contribution; termination
Universal Citation: 405 IN Admin Code 10-12
Current through September 18, 2024
Authority: IC 12-15-44.5-9
Affected: IC 12-15-44.5
Sec. 12.
(a) A HIP Plus or HIP State Plan Plus member who does not make a required monthly POWER account contribution within the time frame established in section 9 of this rule shall receive a notice of nonpayment. Upon receiving a notice of nonpayment:
(1) except as provided in section
13 of this rule, a member with household income above one hundred percent
(100%) of the FPL shall:
(A) be terminated
from participation in the plan; and
(B) not be allowed to reapply for a period of
six (6) months from the notice of nonpayment; or
(2) a member with household income at or
below one hundred percent (100%) of the FPL shall be:
(A) transferred to HIP Basic, if previously
enrolled in HIP Plus; or
(B)
transferred to HIP State Plan Basic, if previously enrolled in HIP State Plan
Plus.
(b) Any funds remaining in the POWER account of a member terminated pursuant to subsection (a)(1) shall be credited to the state and returned to the individual as provided in section 6(b) of this rule.
(c) A member who voluntarily withdraws from the plan shall be subject to subsection (b).
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