Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 12 - Gateway to Work
Section 12-9 - Good cause exemptions
Universal Citation: 405 IN Admin Code 12-9
Current through September 18, 2024
Authority: IC 12-15-44.5-9
Affected: IC 12-15-44.5
Sec. 9.
(a) A member may present evidence of a good cause exemption at any point to either the office or the member's MCO.
(b) A good cause exemption may apply to a member's eligibility in section 2 of this rule, a member's exemption in section 3 of this rule, or a member's qualifying activity in section 4 of this rule.
(c) A good cause exemption may be first presented during the member's appeal process as set forth in section 10 of this rule.
(d) Recognized good cause exemptions include the following verified circumstances:
(1) The member has a disability as defined by
the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation
Act, or Section 1557 of the Patient Protection and Affordable Care Act and was
unable to meet the requirement for reasons related to that
disability.
(2) The member is a
recent victim, within the previous six (6) months, of domestic
violence.
(3) Severe inclement
weather or other natural disaster.
(4) Other circumstances that would impose a
severe burden on participating in community engagement activities.
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