Authority: IC 16-19-3-4

Affected: IC 16-46-1

Sec. 2. (a) The fee schedule for local health maintenance services shall consist of the following:

1. (1) Members of households whose annual income is between zero (0) and one hundred eighty-five percent (185%) of the poverty income guideline may be charged a maximum of thirty percent (30%) of the cost for local health maintenance services.
2. (2) Members of households whose annual income is between one hundred eighty-five percent (185%) and two hundred twenty percent (220%) of the poverty income guideline may be charged a maximum of fifty percent (50%) of the cost for local health maintenance services.
3. (3) Members of households whose annual income is between two hundred twenty percent (220%) and two hundred fifty percent (250%) of the poverty income guideline may be charged a maximum of seventy-five percent (75%) of the cost for local health maintenance services.
4. (4) Members of households whose annual income exceeds two hundred fifty percent (250%) of the poverty income guideline may be charged a maximum of the full cost of the service.

(b) The poverty income guidelines, used to calculate fees, shall be published annually in the Indiana Register.

(c) Assignment of annual income levels shall be based on the individual's annual household gross income and size. The department may, when computing the fee to be assessed, consider extenuating circumstances such as substantial financial debt, substantial assets, and family members with extraordinary medical bills.

(Indiana Department of Health; 410 IAC 24-2-2; filed Mar 12, 1991, 3:00 p.m.: 14 IR 1622; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR- 410070141RFA; readopted filed Sep 11, 2013, 3:19 p.m.: 20131009-IR-410130346RFA; readopted filed Nov 13, 2019, 3:14 p.m.: 20191211-IR-410190391RFA)