Authority: IC 12-13-7-3; IC 12-15

Affected: IC 12-15-2; IC 12-15-3

Sec. 6. (a) Except as provided under subsection (b), individuals may be eligible for Medicaid services if they meet the following criteria:

1. (1) They qualify to receive behavioral and primary health care coordination services based on the criteria set forth in 405 IAC 5-21.8-4.
2. (2) They have met the income threshold set forth in section 5(b) of this rule.

(b) Individuals described in subsection (a)(1) but who do not qualify under subsection (a)(2) may still be eligible for Medicaid services if their countable income is less than one hundred fifty percent (150%) of the FPL. In determining an individual's countable income for purposes of this subsection, the following deductions apply:

1. (1) For an applicant or individual who is married, income will be calculated in accordance with 405 IAC 2-3-17.
2. (2) One thousand four hundred thirty-seven dollars ($1,437) or an amount equal to one hundred fifty percent (150%) FPL, which will increase annually.

(c) There is no asset test when subsection (b) is applicable.

(Office of the Secretary of Family and Social Services; 405 IAC 2-1.1-6; filed Apr 8, 2014, 12:37 p.m.: 20140507-IR-405130533FRA; readopted filed Nov 13, 2019, 11:54 a.m.: 20191211-IR-405190487RFA; readopted filed Oct 8, 2025, 3:16 p.m.: 20251105-IR-405240502RFA)