Ind. Admin. Code tit. 405, r. 10-4-4 – Section 1931 parents and caretaker relatives

Sec. 4. (a) An eligible applicant or member who meets the definition for Section 1931 parent and caretaker relative shall be enrolled in either HIP State Plan Plus or HIP State Plan Basic in accordance with 405 IAC 10-3-2 or 405 IAC 10-3-3, as applicable.

(b) If a member under this section is determined to no longer meet the Section 1931 parent and caretaker relative definition but is still eligible under the plan, the member shall be transferred to:

(1) HIP Plus if the member is currently enrolled in HIP State Plan Plus; or
(2) HIP Basic if the member is currently enrolled in HIP State Plan Basic.

(c) A member who has received coverage as a Section 1931 parent and caretaker relative for three (3) of the past six (6) months and who no longer meets the Section 1931 parent and caretaker relative definition because of increased income from employment that results in household income greater than allowed under this rule shall be eligible to receive transitional medical assistance in accordance with section 5 of this rule. Any member who is enrolled at a HIP Basic level of coverage when Section 1931 qualification is lost due to increased employment income shall be given the opportunity to buy-up to HIP Plus coverage.

(d) A member who meets the Section 1931 parent and caretaker relative definition and is at least sixty-five (65) years of age while enrolled in the plan shall remain eligible for the plan for so long as the member continues to meet the Section 1931 parent and caretaker relative definition under 405 IAC 10-2-1(47).

(Office of the Secretary of Family and Social Services; 405 IAC 10-4-4; filed May 18, 2015, 12:34 p.m.: 20150617-IR-405140339FRA; filed Jan 19, 2018, 8:42 a.m.: 20180214-IR-405170484FRA; readopted filed Oct 16, 2024, 11:20 a.m.: 20241113-IR-405230817RFA)