Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 4 - Eligibility
Section 4-10 - Loss of eligibility
Universal Citation: 405 IN Admin Code 4-10
Current through September 18, 2024
Authority: IC 12-15-44.5-9
Affected: IC 12-15-44.5
Sec. 10.
(a) During the twelve (12) month eligibility period, an individual shall become ineligible to participate in the plan under the following circumstances:
(1) The member is no longer an Indiana
resident.
(2) The member is
enrolled or is otherwise eligible for enrollment in the federal Medicare
program.
(3) The member becomes
eligible for another Medicaid assistance category, except for:
(A) Section 1931 parents and caretaker
relatives;
(B) transitional medical
assistance; or
(C) HIP
Maternity.
(4) The
member has household income above one hundred percent (100%) of the FPL and is
terminated under
405
IAC 10-10-12 for failure to make the required POWER
account contributions, unless the member is excepted under
405
IAC 10-10-13.
(5) The member or the member's duly
authorized representative requests in writing that coverage be
terminated.
(6) The member
falsifies information on the application.
(7) The member is at least sixty-five (65)
years of age unless the member is:
(A) a
Section 1931 parent and caretaker relative; or
(B) eligible for transitional medical
assistance.
(8) Except
for a member eligible for transitional medical assistance, the member's
household income exceeds one hundred thirty-three percent (133%) of the
FPL.
(b) Coverage shall be terminated for a member who loses eligibility under this section.
Disclaimer: These regulations may not be the most recent version. Indiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
