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This category is identified in the Eligibility System as MANA.

An American Indian or Alaska Native eligible for MARP or MASP will also have the option to Opt- out to MANA. Coverage under MARP or MASP is a managed-care health plan, but MANA provides fee-for-service coverage that is equivalent to Package A, but specific to the HIP program. Once an eligible American Indian/Alaskan Native is authorized under HIP Plus or HIP State Plan Plus they will have the option to Opt-out into MANA. An American Indian/Alaskan Native who meets the eligibility requirements for HIP eligibility shall not be subject to any cost- sharing requirements under any HIP category.3 In order to be eligible for no cost-sharing the individual must be a “verified” American Indian/Alaska Native. Please refer to section 2402.15.10 for a list of acceptable documents.

3520.10.00 HIP PLUS-STATE PLAN (MED 3)

This category is identified in the Eligibility System as MASP.

To be eligible for MASP an adult must be an Indiana resident who is at least 19 years of age and less than 65 years of age and have income less than 133% of the FPL, unless the person qualifies for TMA. An individual may not be enrolled in or eligible for enrollment in the federal Medicare program. Participants included include:

• Low-income parents and caretaker relatives • TMA eligible individuals • Individuals who qualify as medically frail.

HIP Plus State Plan requires the member to pay a monthly POWER Account contribution (PAC) and only has co-payments on non-emergency use of the hospital emergency department. MASP members who are American Indian/Alaska Natives are not required to make financial contribution to a POWER Account. The HIP PLUS State Plan has no provision for retroactive coverage. The effective date of HIP PLUS State Plan coverage begins the first day of the month in which the individual makes an initial POWER account contribution.4

3520.15.00 HIP BASIC-STATE PLAN (MED 3)

This category is identified in the Eligibility System as MASB.

To be eligible in this category an adult must be an Indiana resident who is at least 19 years of age and less than 65 years of age with income at or below 100% FPL. The individual will be enrolled in HIP Basic State Plan if they fail to make financial contributions towards a POWER account and meet one of the following groups:

• Low-income parents and caretaker relatives • Individuals that qualify as medically frail.