Page 11
1, 2015. Household size and income is determined using Modified Adjusted Gross Income (MAGI) methodology. Refer to Chapter 2800 and Chapter 3200 of the IHCPPM for policy surrounding income and assistance group formation.
3530.05.05 ELIGIBILITY REQUIREMENTS FOR HIP LOW-INCOME PARENT-CARETAKERS
This section applies to MASP and MASB.
To be considered HIP eligible as a low-income parent/caretaker, the HIP adult must be the parent or caretaker relative (refer to sections 2420.05.05 and 2420.10.05) of a dependent less than 18 years of age and have household income that is equal to or less than the standard set in IHCPPM 3010.30.10.05.
3530.05.10 ELIGIBILITY REQUIREMENTS FOR HIP TMA
To be considered HIP eligible for transitional medical assistance (TMA), the HIP adult must have been financially eligible as a low-income parent/caretaker (refer to Section 3530.05.05) in three of the six months immediately preceding ineligibility as a low-income parent/caretaker due to new or increased earnings. HIP TMA coverage can last up to 12 months. For TMA eligibility periods and requirements, refer to Chapter 3800.
3530.05.15 ELIGIBILITY REQUIREMENT FOR POTENTIAL PLUS
For members eligible under either MASB or MARB who experience a verified change in which the new household income is above 100% FPL, they will be required to switch to either MASP or MARP and will have 60 days to make the required financial contribution to a POWER account. Members who are required to be switched to MARP and fail to make a timely payment will be discontinued and may be subject to a 6-month penalty period.12 Refer to Section 3555.15.00.
3530.05.20 ELIGIBILITY REQUIREMENTS FOR HIP LOW-INCOME 19/20-YEAR-OLD
This designation is no longer applicable.
3530.10.00 RESOURCE ELIGIBILITY REQUIREMENTS
There is no resource limit for HIP eligibility.
3540.00.00 POWER ACCOUNT CONTRIBUTION ELIGIBILITY REQUIREMENTS
HIP Plus members must make monthly contributions to their POWER account to move from conditional to fully eligible status after initial determination. Members must continue to make monthly contributions in a timely manner to maintain program enrollment. The following sections discuss the specifics of POWER account contribution requirements.