Page 1

Indiana Health Coverage Program Policy Manual Chapter 3800 TRANSITIONAL MEDICAL ASSISTANCE Sections 3800.00.00 – 3820.00.00

Contents 3800.00.00 TRANSITIONAL MEDICAL ASSISTANCE HISTORY AND OVERVIEW ............................ 1

3800.05.00 CHANGES DUE TO HEALTHY INDIANA PLAN WAIVER RENEWAL ................. 1 3805.00.00 TMA ELIGIBILITY .................................................................................................... 2 3805.05.00 FORMER LOW-INCOME PARENT/CARETAKER STATUS ................................ 2 3805.10.00 INCREASE IN EMPLOYMENT/SELF-EMPLOYMENT INCOME ........................ 3 3805.15.00 TMA HOUSEHOLD ..................................................................................... 3 3810.00.00 TMA CATEGORY CHANGE & EFFECTIVE DATE......................................................... 4

3810.05.00 MEMBERS WHO WOULD HAVE FORMED TMA UNDER PRIOR RULES ......... 4 3810.10.00 MA F FOR CHILDREN AND TMA BUDGETING .............................................. 4 3810.15.00 POWER ACCOUNT CONTRIBUTION (PAC) AND TMA ................................... 5 3815.00.00 TMA ELIGIBILITY PERIODS ...................................................................................... 5 3815.05.00 CIRCUMSTANTIAL ELIGIBILITY FACTORS ..................................................... 6 3815.10.00 CATEGORICAL ELIGIBILITY FACTORS ........................................................... 6 3815.15.00 COMPLIANCE ELIGIBILITY FACTORS ........................................................... 7 3820.00.00 TMA REPORTING/REDETERMINATION ............................................................... 7