Page 9
8
completing quarterly Periodic Reporting Forms.
After a family has been determined eligible for TMA coverage, they will be set for a potential twelve (12) month TMA period. Their next redetermination will be set to coincide with the end of the maximum TMA period.
If the family still has TMA coverage when their redetermination process begins, they will receive a Must-Return Mailer to verify their current income. Because there is no periodic reporting, this is required so the members may be accurately evaluated for continued non-TMA coverage.
TMA members will be allowed to participate in Open Enrollment (the time when they may select a new MCE) just as all other HIP members are.
ADDENDUM
Policy Sources for this chapter include: Statute:
Social Security Act, SSA §1925; §1931 Regulation:
Code of Federal Regulations, 42 CFR §435.110; §435.220 Code:
Indiana Code, IC 12-15-44.5 Rule:
Indiana Administrative Code (HIP Rule) 405 IAC 10 Waiver Authority: Amendment Request to HIP Section 1115 Waiver Extension Application (2017) State Plan:
IndianaMedicaid.com
i Social Security Act 1931 ii 42 CFR §435.110; §435.220 iii Social Security Act 1925 iv Social Security Act 1925