Authority: IC 12-17.6-2-11

Affected: IC 12-17.6-3-5

Sec. 1. (a) An application for CHIP shall be filed on the form prescribed by the family and social services administration.

(b) An application shall be made:

1. (1) at a local office in the county where the applicant resides;
2. (2) at an enrollment center that has entered into an agreement with the division to complete initial intake processing of Hoosier Healthwise applications; or
3. (3) by mail to the division.

(c) An application for CHIP may be filed on behalf of an applicant by any of the following:

1. (1) The applicant's parent, guardian, or caretaker.

2. (2) The applicant, if the applicant is either:

   1. (A) eighteen (18) years of age and not living with a parent, guardian, or caretaker; or
   2. (B) married and living with his or her spouse.

(d) The applicant may use an authorized representative to apply for CHIP. The authorization must be in writing and signed by a person authorized to file an application under subsection (c).

(e) The applicant, the applicant's parent or guardian, or the authorized representative must be interviewed by the local office or an enrollment center.

(f) An employee of an enrollment center who accepts an application or conducts an interview in conjunction with an application may not act as authorized representative for that applicant.

(Office of the Secretary of Family and Social Services; 405 IAC 12-1- 1; filed May 3, 2000, 2:02 p.m.: 23 IR 2231; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; readopted filed Jun 18, 2012, 11:23 a.m.: 20120718-IR-407120202RFA; readopted filed Apr 9, 2018, 9:12 a.m.: 20180509-IR-405180110RFA; readopted filed Oct 16, 2024, 11:20 a.m.: 20241113-IR-405230817RFA) NOTE: Transferred from the Office of the Children's Health Insurance Program ( 407 IAC 2-1-1) to the Office of the Secretary of Family and Social Services ( 405 IAC 12-1-1) by P.L.35-2016, SECTION 53, effective March 21, 2016.