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To be eligible in this category an adult must be at least 19 years of age and less than 65 years of age and have income equal to or less than 133% of the FPL, unless the person qualifies for TMA.

The upper age limit is waived for Low-Income Parent/Caretakers. A potential member may not be enrolled in or eligible for enrollment in the federal Medicare program. Eligible participants include:

• Low Income parents and caretaker relatives • TMA eligible individuals; or • Individuals that qualify as medically frail.19

HIP Plus State Plan requires the participant to pay a monthly POWER Account contribution (PAC) and only has co-payments on non-emergency use of the hospital emergency department. MASP members, who are American Indian/Alaska Natives, are not required to make a financial contribution to a POWER Account. 1620.37.00 HIP BASIC-STATE PLAN (MED 3) This category is identified in IEDSS as MASB.

To be eligible in this category an adult must be at least 19 years of age and less than 65 years of age (upper age limit is waived for low-income parent/caretakers). They must have income at or below 100% FPL. They will be enrolled in HIP Basic State Plan if they fail to make financial contributions toward a POWER account and fall into one of the following groups:

• Low-income parents and caretaker relatives • Individuals that qualify as medically frail.20 1620.38.00 HIP STATE PLAN PLUS WITH CO-PAYS (MED 3) This category is identified in IEDSS as MAPC.

• To be eligible in this category an adult must have been eligible under MASP, while being determined medically frail, having income between 100% FPL and 133% FPL, and failing to make ongoing financial contributions to a POWER account. • If an MAPC member’s income decreases to below 100% FPL, they will be moved into the State Plan Basic category. 1620.39.00 HIP REGULAR PLAN PLUS (MED 3) This category is identified in IEDSS as MARP.