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Only members who do not initially qualify for any other Medicaid, but also fail financial eligibility for MA Q, (Refugee Medical Assistance (RMA) up to 12 months in the U.S prior to 5/5/25 and 4 months on or after 5/5/25) will be allowed to be authorized conditionally in a HIP 2.0 category. Because this will only be applicable for members who are over the low-income parent/caretaker income standard, they will receive Regular coverage unless Medical Frailty is confirmed. This will not offer them services, for the most part, on the day they apply; but will provide them with some coverage as soon as the initial POWER Account payment is made.

In addition, the worker must refer refugees who are 65 years of age or older, or who are blind or disabled, to the SSA to apply for assistance under the SSI program. Cash Assistance is to be furnished to eligible refugees until eligibility under the SSI program is determined. Note: Eligibility is based on Income and resources on the date of application date, however applicants/members must comply with all eligibility requirements and provide requested verifications for self and/or family to be determined eligible for Medicaid and/or RMA.90

2433.00.00 HEALTH INSURANCE COVERAGE CONSIDERATIONS (MA 10) There are certain limitations to eligibility under Hoosier Healthwise Package C relative to the coverage or possible coverage of the children under other insurance 91 as follows: Access to the State of Indiana Health Insurance Plan: • Children whose parents, caretakers or spouses can cover them under the State of Indiana's health coverage plans offered to State employees are not eligible for MA 10. This prohibition applies even if the State employee has chosen not to cover the child, and regardless of whether an open enrollment period is available to the employee at the time of the application. The prohibition does not apply if it is a non-custodial parent who is the State employee.

If the requirements for coverage under the State benefit package appear to be met but the State employee maintains that the child in his or her care cannot be covered, the employee must present or obtain verification from the agency's health plan administrator. The application should be pended awaiting this verification. Coverage by other health insurance: • Children who are covered by comprehensive health insurance (hospital and medical or major medical) are not eligible for MA 10, this differs from the limitation above as the