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eligible for HIP. Members whose benefits are terminated for reasons listed in section 3555.15.05 will not be subject to any 6-month penalty and refer to 3555.15.05 for exemption process.

Note: Effective 3/20/20 lockouts for non-payment of HIP Power Account Contributions are suspended for a until further notice. 3555.05.00 LOSS OF ELIGIBILITY

In addition to the failure to make required POWER account contributions in a timely manner and voluntarily withdrawing,23 there are several other reasons a member may lose HIP eligibility within the 12-month coverage period:

• The individual is no longer an Indiana resident • The member is enrolled or is otherwise eligible for enrollment in the federal Medicare program • The individual becomes eligible for another Medicaid category, except for pregnant women (refer to section 2220.05.00) • The member has household income above one hundred percent (100%) of the FPL and is discontinued for failing to make the required POWER account contributions. • The member or the member's duly authorized representative requests in writing that coverage be terminated (voluntary withdrawal). • The State discovers that the individual has falsified information on the application. In this case, the individual may be held financially responsible for the number of payments made on his behalf by the State, including POWER account contributions. • The member turns 65 years old. • Except for a member eligible for transitional medical assistance, the member's household income exceeds one hundred thirty-three percent (133%) of the FPL. • The member fails to verify citizenship or immigration status within 95 days of being determined eligible for HIP or conditionally eligible for HIP. (Refer to Sections 2402.15.10 and 2402.20.50) • The member dies • The member does not complete a redetermination timely. Refer to Section 3555.10.00.

NOTE: If continued eligibility for HIP under these requirements cannot be determined due to failure of the member to respond to a request for verification of new or changed information, HIP will be closed according to normal MAGI Medicaid guidelines for advance notice and appeal rights.24

3555.10.00 LOSS OF ELIGIBILITY AT REDETERMINATION

To continue HIP participation, members must complete a renewal process every 12 months. If the agency is unable to redetermine the eligibility of the individual with already available