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The following are helpful items that the worker should be prepared to verbally explain to each Medicaid interviewee if they ask for this information. At a minimum, workers should conclude an interview by informing the interviewee of the next steps to be taken by both the applicant/member and the DFR. • That the AG will receive written notices stating the actions that must be taken to stay eligible. (If the AG cannot comply, the client should call before the deadline to explain the reason.) • All eligibility factors pertaining to the Medicaid categories which have been chosen • That there is an Appeals and Hearings process available • The applicant's Rights & Responsibilities are outlined within the Indiana Application for Health Coverage and can be mailed again if requested • The fact that the application will be processed for the category with the most benefits that the individual may be eligible to receive • The applicant's freedom of choice as to the type and number of categories under which he applies, including the QMB category for applicants entitled to Medicare Part A • The applicable timeline standards to determine eligibility for the application • That if the AG disagrees with any action taken by the DFR, it may request a fair hearing • That the AG's SSNs will be matched against the records of other agencies to detect unreported income and resources • The fact that the individual may withdraw their application at any time during the application process or request that his assistance be discontinued. 2030.10.00 PROVIDING INFORMATION TO APPLICANTS
The following information must be provided: • If an applicant is approved, a Hoosier Health Card will be sent to each enrollee within two weeks after the approval is authorized. This is a plastic identification card expected to be retained throughout the person's eligibility for Hoosier Healthwise or traditional Medicaid in Indiana. If a person is discontinued and reapplies, the same card can once again be used if the person is re-enrolled. Coverage under traditional Medicaid and all benefit packages of Hoosier Healthwise except Package C, may be retroactive up to three months prior to the month of application if all requirements are met. Coverage under Package C can begin no earlier than the month of application. Also, coverage under MA L cannot begin any month earlier than the month of application. • Coverage under the premium-free packages will be explored first and if the person wishes coverage under Package C, payment of the premium is required. • Annual redeterminations of eligibility are required for all enrolled persons.