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Appeals regarding HIP Bridge Account and eligibility shall be governed by the procedures and time limits set out in 405 IAC 1.1. An individual may not be enrolled in or eligible for enrollment in the federal Medicare program or be eligible under any other Medicaid category. If member becomes eligible or wants to apply for another Medicaid category a reapplication will be required. If member is eligible for another Medicaid category, MAHB will be terminated. MAHB does not apply to members denied at application point, during a conditional period, at the same time of transition from another Medicaid category to HIP or transitioning to TMA.

3525.00.00 HIP EFFECTIVE DATE FOR ELIGIBILITY

For individuals meeting all financial and non-financial requirements to be considered HIP eligible, the effective date of eligibility is determined upon whether the person makes a timely financial contribution to his POWER account.

For HIP Regular Plus or HIP State Plus, coverage begins the first day of the month in which the individual makes an initial POWER account contribution. There is no retroactive coverage under HIP PLUS categories (MARP and MASP).10

The effective date of HIP Regular Basic or HIP State Basic coverage begins in the month the member, whose income is at or below 100% FPL, fails to make a required contribution to his POWER account within his sixty (60) day payment period. There is no retroactive coverage under HIP Basic categories (MARB and MASB).11

3525.05.00 RESERVED

3525.05.05 RESERVED

3525.05.10 FAST TRACK ELIGIBILITY AND PRESUMPTIVE ELIGIBILITY

As of 2/1/2018 Presumptive Eligibility (PE) members are no longer eligible to make fast track eligibility (FTE) payments during their PE period. The members going from PE to HIP will go Basic Potential Plus as of the month after authorization of their HIP. The intent of this is to eliminate any possibility of overlap between PE and HIP.

3530.00.00 FINANCIAL ELIGIBILITY REQUIREMENTS

The income standards for the HIP program are in Section 3010.30.10.

3530.05.00 INCOME ELIGIBILITY REQUIREMENTS

To be eligible for the HIP program, an individual’s countable household income may not exceed 133 percent of the Federal Poverty Level for the appropriate household size, effective February