Page 16

information the member is sent an Eligibility Review Form. Members who do not follow the renewal process and do not return all documentation requested by the agency within 45 days (before the end of the individual’s 12-month coverage period) will be dis-enrolled.

Closure due to eligibility failure in the month of redetermination (ex. over the income limit for month of redetermination) is not eligible for rescission even if circumstances change; a new application would be required. However, if the closure happened because correct/complete documentation was not provided, the member may qualify to have the closure rescinded.

To qualify for rescission of the closure, the member must comply with returning all needed documentation (including signature on the redetermination form, if applicable) and if the paperwork is returned late, but before the end of the redet month, the member’s HIP may be restored with no gap in coverage and no lockout will apply. If the member complies after the redet month but before the 90th day after the eligibility period ends, a new application is not required, but the member can only be authorized conditionally. Fully open HIP will not resume until the member either pays the first POWER Account payment and opens in Plus coverage or waits 60 days and defaults to Basic coverage. At the end of this 90-day period, a new application would be required for benefits to be reopened.

Note: Lockouts for non-payment of HIP Power Account Contributions were suspended effective 3/20/20 and removed from the HIP program effective 7/1/21/. 3555.15.00 RESERVED

3555.15.05 RESERVED

3560.00. NEW WORK REQUIREMENT PROGRAM (COMING 1/1/27)

3565.00.00 HIP ID CARDS

A HIP card will be issued from the assigned managed care health plan within five (5) calendar days of a new member’s full enrollment.

1 405 IAC 10-4-1 2 405 IAC 10-2-1 3 405 IAC 10-4-7 4 405 IAC 10-3-2 5 405 IAC 10-3-2 6 405 IAC 10-4-1 7 405 IAC 10-3-2 8 405 IAC 10-4-1 9 405 IAC 10-3-2 10 405 IAC 10-3-2