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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. A potential member may not be enrolled in or eligible for enrollment in the federal Medicare program or be eligible for any other Medicaid category.21 The income standard is 133% FPL. HIP Regular Plus 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. 1620.39.05 HIP REGULAR BASIC (MED 3) This category is identified in IEDSS as MARB.

To be eligible in this category an adult must be at least 19 years of age and less than 65 years of age with income at or below 100% FPL and will be enrolled in HIP Basic after failing to make financial contributions to a POWER account. A potential member may not be enrolled in or eligible for enrollment in the federal Medicare program or be eligible under any other Medicaid category.22 The HIP Basic benefit package applies co-payments to services. The “HIP Basic” Plan maintains essential benefits, but incorporates reduced benefit coverage, has a more limited pharmacy benefit, does not include dental, and does not include vision benefits. 1620.40.00 CHILDREN IN PSYCHIATRIC FACILITIES (MED 3) This category is identified in IEDSS as MA O.

To be eligible in this category a child must be under age 21, an inpatient of a Medicaid certified psychiatric facility, and meet MAGF eligibility requirements (except the age 18 limitations) as if they were living at home.23 A recipient who is approved for MA O prior to his 21st birthday remains eligible until age 22 as long as he remains in the psychiatric facility. 1620.45.00 REFUGEE MEDICAL ASSISTANCE (MED 2) This category is identified in IEDSS (Indiana Eligibility Determination Services System) as MA Q (Refugee Medical Assistance (RMA) 1st 12 months for individuals entering the U.S prior to 5/5/25 or 1st 4 months for members entering the U.S on or after 5/5/25. 24 Individuals receiving or eligible to receive Refugee Cash Assistance (RCA) are eligible for Medicaid under these categories. This is the category of last resort, after all other categories have been explored.

A MA Q (Refugee Medical Assistance (RMA) 1st 4-12 months (prior to 05/05/25 or 1st 4 months on or after 05/05/25) in the U.S) AG that becomes ineligible for assistance due solely to new or increased earnings may receive continued Medicaid until the end of the four/12-month period. In cases where a member of the AG obtains private medical coverage, it is imperative to answer Third Party Liability questions located in IEDSS (Indiana Eligibility Determination Services System) under Non-financial questions and properly update information on the Third-Party Liability Detail