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• Children who are wards of the State, children in the Adoption Assistance Program, foster children and former foster children (MA 4, MA 8, MA 15) may opt out of Traditional Medicaid FFS and voluntarily enroll in Hoosier Care Connect, a coordinated care program (see 1610.00.00 for a description of the Hoosier Care Connect program).

HIP is funded through a Section 1115 demonstration waiver with the CMS, Indiana’s existing cigarette tax revenues, and from a Hospital Assessment Fee. HIP coverage is available to adults aged between 19 and 64 years, who do not have Medicare, have income equal to or less than 133% of the FPL, and are not eligible for any other Medicaid category excluding low-Income parents/caretakers and transitional Medical Assistance.

Under HIP, a person will qualify for either State Plan Benefits or Regular Plan Benefits. Within each plan exists Plus and Basic. Please, refer to IHCPPM 3500.00 to see the difference in benefits and cost sharing between HIP Plus and HIP Basic.

To receive coverage under either HIP State Plan Plus (MASP) or HIP Regular Plan Plus (MARP), a person must make financial contributions towards a Personal Wellness and Responsibility (POWER) account that is based on their income and the FPL percentage range that the member falls in, but can be no less than $1 per month, regardless of a person’s income.

To receive coverage under either HIP State Plan Basic (MASB) or HIP Regular Plan Basic (MARB), the income standard is 100% of the FPL.

• HIP State Plan Plus (MASP) benefits, refer to 3520.10.00 • HIP State Plan Basic (MASB) benefits, refer to 3520.15.00 • HIP Regular Plan Plus (MARP) benefits refer to 3520.25.00. • HIP Regular Plan Basic (MARB) benefits, refer to 3520.30.00

A woman who is a member of any HIP category who becomes pregnant will be moved into the MAMA category unless income increases at the same time. If this happens, she should go into MAGP. 1620.05.00 LOW INCOME PARENTS / CARETAKERS This category is identified in the eligibility system as MAGF.

The category consists of parents and caretaker relatives of dependents less than 18 years of age and is reserved for members who do not qualify for HIP coverage due to Medicare, a waiver or refugee status. A parent includes biological, adopted, and stepparent.

For the definition of a caretaker relative, please refer to IHCPPM 2420.00.00. This category also consists of low-income parent and caretaker refugees for the first twelve months after arriving in the United States.