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The HIP Basic benefit package applies co-payments to services. The “HIP Basic” plan maintains essential benefits but incorporates reduced benefit coverage and a more limited pharmacy benefit. The HIP Basic plan has no provision for retroactive coverage. The effective date of HIP Basic coverage begins when the client does not make a POWER account contribution within the sixty (60) day payment period.9

3520.35.00 HIP WORKFORCE BRIDGE (MED 3)

Note: This program has a proposed implementation date in 2024. This category is identified in the Eligibility System as MAHB. The HIP Workforce Bridge Account will provide an account containing $1,000 for members to use on healthcare expenses while transitioning from HIP to commercial insurance. Eligibility will begin in a conditional status once an ongoing fully open HIP case is closed solely for excess income. The HIP Workforce Bridge account will continue for 12 months or until the account has been expended whichever comes first. The funds can be used to pay for premiums and other cost-sharing for health coverage through the Federally Facilitated Marketplace or employer- sponsored insurance, as well as contribute towards paying for any services that Medicaid would normally cover by a Medicaid provider.

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 and fail eligibility solely due to increased earnings.

Individuals who are passing all eligibility factors but then fail HIP exclusively due to excess income will potentially be eligible for HIP Bridge, subject to the availability of accounts for the year.

MAHB will start out in a conditional status. The HIP member will receive a letter from our fiscal agent who administers Core MMIS instructing them on what the account is and how they can opt-in. *Qualified individuals who opt-in will receive a HIP Workforce Bride member card to present to doctors and the pharmacy or submit a claim (Form 56960) by mail only for all premium reimbursements. Those who do not opt-in within 30 days will have their conditional MAHB closed by the system.

There are a limited number of HIP Workforce Bridge accounts available in a year, and once the cap is reached the eligibility system will stop forming MAHB for those who would otherwise have been eligible until the next calendar year.

*Forms should be mailed to:

HIP Workforce Bridge P.O. Box 7255 Indianapolis, IN 46207-1995