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1800.00.00 APPLICATION REGISTRATION This chapter contains the application registration processes. It includes: • Request for an Application (Section 1805) • Request for an Independent Resource Assessment (MED 1) (Section 1810) • Informed Choice (Section 1815.00.00) • Initial Contact Person (Section 1820) • Completion of the Application (Section 1825.05.00)

• Receipt of an Application (Section 1825.05.00) • Individual Clearance (Section 1825.05.15)

• Individual Clearance (Section 1825.05.15) • Person who Signs the Application (Section 1825.10.00) • Alias (Section 1825.10.05) • Date of the Application (Section 1825.15.00) • Scheduling the Interview (MED 1, 2, 4) (Section 1835.00.00) • Applicant Interview (MED 1, MED 2, MED 4) (Section 1835.05.10). 1805.00.00 REQUEST FOR AN APPLICATION The Indiana Application for Health Coverage must be accessible to clients at all times during which the office is open. It will also be provided in an on-line version during open office hours and when the office is closed. All reception staff, eligibility workers and those answering telephone calls must inform clients that an application will be accepted when the name and address is completed, and the form is signed. No other requirements or limitations can be placed on the client's right to file an application for Health Coverage. For the Healthy Indiana Plan (HIP), please refer to Chapter 3500. Individuals may request assistance in person, by mail, by telephone, or online. If requested, the individual will be referred to our application portal on the FSSA website or may be given or mailed an Indiana Application for Health Coverage. When an application form is provided, assistance in completing the application is to be offered.1 Applications will also be received through electronic account transfer from the Federal Marketplace.2