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Hierarchy. Please note, however, that a child who fails MA 9, but who would be eligible for MA D or MA B, could receive MA 10, if otherwise eligible. (Refer to IHCPPM Section 2035.30.10).
Unlike the other Hoosier Healthwise categories, MA 10 has cost-sharing requirements. There are premiums that must be paid as a condition of enrollment and ongoing eligibility, and there are co-payments for some services.
Retroactive coverage is not available under this category. Coverage begins with the month of application. (Refer to IHCPPM Section 2035.60.00.) 1620.73.00 FOSTER CARE INDEPENDENCE Note: Effective 1/1/23, Former foster care children enrolled in Medicaid (any state) on their 18th birthday will transition to MA 15 (Refer to 1620.74.00 and 2035.30.25). 1620.74.00 FORMER FOSTER CHILDREN UP TO AGE 26 This category is identified in IEDSS as MA 15.
To be eligible under this category, an individual must have been in foster care and enrolled in Medicaid (any state) on his/her 18th birthday and must be 18 through 26 years old.30
There are no income standards or resource requirements for this eligibility group. 1620.75.00 NEWBORNS This category is identified in IEDSS as MA X.
MA X is based on deemed eligibility and does not have a budget or redetermination. It is a full coverage category with no cost sharing and is at the top of the Medicaid hierarchy, therefore, it should not be replaced with any other category of medical coverage.
The only exception to this is if a newborn is approved for the MA D category. If an ongoing MA X child is approved for MA D, the category change will be effective the following month.
A child born to an individual who was receiving (and eligible for) Traditional Medicaid, HIP, or any Hoosier Healthwise benefit package except Package C (MA 10), at the time of the child's birth, is deemed automatically eligible for Medicaid in the Newborn category. Coverage in this category continues for 12 months from birth. Refer to Sections 2225.10 and 2428.00. 1620.80.00 FAMILY PLANNING SERVICES