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Family and Social Services Administration

Healthy Indiana Plan

HIP > Am I Eligible? > Conditions that may qualify you as medically frail Conditions that may qualify you as medically frail

Note: Having a condition on this list does not guarantee you will be considered frail. Severity of your condition may also be evaluated.


  • Cancer: includes all cancers subject to the 150 point limit
  • Aplastic anemia
  • Cerebral vascular accidents
  • Transplant or transplant wait list for heart, lung, liver, kidney or bone marrow
  • Blood clotting disorders, frequent blood transfusions
  • Lipid storage diseases: Tay Sach's disease, Nieman Pick disease, Fabry's disease
  • Primary immune deficiencies: DiGeorge syndrome, combined immune deficiency, Wiskott-Aldrich syndrome, T-cell deficiency
  • Muscular dystrophy
  • Primary pulmonary hypertension
  • Amyotrophic lateral sclerosis
  • Cirrhosis
  • Chronic hepatitis B or hepatitis C
  • Cystic fibrosis
  • Diabetes mellitus with: ketoacidosis, hypersmolar coma, renal complications, retinopathy, peripheral vascular complications, or coronary artery disease
  • Renal failure / end stage renal disease
  • CMV retinitis
  • Tuberculosis
  • Paraplegia or quadriplegia

Mental Health

  • Alcohol and substance abuse
  • Mental illness including major depression, schizophrenia, bipolar disorder or post-traumatic stress disorder

Activities of Daily Living

  • Need assistance in an activity of daily living
    • 24 hour supervision and/or direct assistance to maintain safety due to confusion and/or disorientation
    • Turning or repositioning every 2 to 4 hours to prevent skin breakdown per medical plan of care
    • 24 hour monitoring of a health care plan by a license-nurse
    • Eating
    • Transferring from bed or chair
    • Dressing
    • Bathing
    • Using the toiler
    • Walking or using a wheelchair


HealthCare Reform

DFR Benefits