TITLE 407 OFFICE OF THE CHILDREN'S HEALTH INSURANCE PROGRAM
Final Rule
LSA Document #08-533(F)
DIGEST
Amends
407 IAC 2-2-2 and
407 IAC 2-3-1 to add a new group of eligible children whose countable family income exceeds 200% of the federal poverty level using existing income methodologies but does not exceed 250% of the federal income poverty level without application of income disregards and adds two additional eligibility premium cells for the new group of children. Effective 30 days after filing with the Publisher.
Authority:
IC 12-17.6-2-11
Sec. 2. (a) To be eligible to enroll in the program, an applicant must be a member of a family with an annual income of:
(1) more than one hundred fifty percent (150%); and
(2) not more than two hundred fifty percent (200%); (250%);
of the federal income poverty level.
(b) All income of the following individuals is considered in determining the individual's eligibility, except for the exclusions listed in subsection (d):
(1) The applicant or member.
(2) The applicant applicant's or member's parents living in the home with the applicant or member unless the applicant or member is married.
(3) The applicant's or member's spouse.
(c) The amount of countable income shall be computed according to
405 IAC 2-5-1.
(d) Any income that would be excluded under the Medicaid program for a child under nineteen (19) years of age described in
IC 12-15-2-14 is excluded in determining eligibility for the program.
For families that have an income greater than two hundred percent (200%) of the federal income poverty level, regular income disregards shall not be allowed in determining countable income.
407 IAC 2-3-1 Responsibility for premium payment
Authority:
IC 12-17.6-2-11
Sec. 1. (a) In order for an individual to receive benefits under CHIP, the individual's family must pay monthly premiums as described
below: as follows:
| | |
| Income (as a percentage of federal poverty level) | One child enrolled | Two or more children enrolled |
| over 150% to 175% | $22 | $33 |
| over 175% to 200% | $33 | $50 |
| over 200% to 225% | $42 | $53 |
| over 225% to 250% | $53 | $70 |
| For purposes of this section, the family's income includes the income considered in 407 IAC 2-2-2. |
(b) Premiums must be paid monthly. Partial month payments will not be accepted.
(Office of the Children's Health Insurance Program; 407 IAC 2-3-1; filed May 3, 2000, 2:02 p.m.: 23 IR 2233; filed Aug 7, 2002, 9:41 a.m.: 25 IR 4103; errata filed Sep 26, 2002, 11:42 a.m.: 26 IR 383; filed Nov 23, 2005, 11:30 a.m.: 29 IR 1213; readopted filed May 22, 2006, 3:22 p.m.: 29 IR 3424; filed Dec 15, 2008, 11:27 a.m.: 20090114-IR-407080533FRA)
Hearing Held: October 30, 2008
Approved by Attorney General: December 5, 2008
Approved by Governor: December 12, 2008
Filed with Publisher: December 15, 2008, 11:27 a.m.
Documents Incorporated by Reference: None Received by Publisher
Small Business Regulatory Coordinator: Scott Linneweber, Family and Social Services Administration, Office of General Counsel, 402 West Washington, W451, Indianapolis, IN 46204, (317) 233-0024, scott.linneweber@fssa.in.gov
Posted: 01/14/2009 by Legislative Services Agency
DIN: 20090114-IR-407080533FRA
Composed: Apr 29,2024 9:32:17AM EDT
A
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