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The effective date of HIP coverage is the first day of the month in which the health plan receives the first contribution and establishes the member’s POWER account.20

3545.15.00 POWER ACCOUNT CONTRIBUTIONS AND CONTINUED ELIGIBILITY

Members must continue to make POWER account contributions in a timely manner to remain enrolled in HIP Plus. If an enrollee fails to make a required contribution within 60 days after the due date, they will be terminated from HIP Plus. If the individual income is at or below 100% FPL, they will be enrolled in HIP Basic.

Note: Lockouts for non-payment of HIP Power Account Contributions were suspended effective 3/20/22 and removed from the HIP program effective 7/1/21.

3550.00.00 HIP REDETERMINATIONS

Sections 2205.00.00, 2205.05.00, 2205.10.00, and 2205.15.00 are applicable to HIP members. HIP Plus members (MASP or MARP) are required to continue making contributions to their POWER account during their redetermination, and if redetermined eligible for HIP will be re- enrolled as HIP Plus members (MASP or MARP).

HIP TMA recipients are exempt from being required to complete an annual redetermination. Refer to Chapter 3800.

3550.05.00 BASIC POTENTIAL PLUS AT REDETERMINATION

Members that are eligible under either MASB or MARB during their annual redetermination and are re-enrolled into HIP with household income less than 100% FPL will have the potential to switch to either MASP or MARP if they make a financial contribution to a POWER account.21

3550.10.00 PREGNANT HIP MEMBERS AT REDETERMINATION

Pregnant HIP members will not change categories during redetermination, regardless of income changes. Due to the pregnancy, the member is not required to complete the annual redetermination.

3555.00.00 LOSS OF ELIGIBILITY

When an eligible HIP recipient loses eligibility for HIP, the member may or may not be subject to a 6-month penalty period depending on the reason for termination. If a member has eligibility terminated for failing to make a required contribution if over 100% FPL, the member will be subject to a 6-month penalty period.22 During this time, the individual will not be considered