Section 405IAC10-11-8. HIP Link POWER account

   (a) The office shall maintain a HIP Link POWER account for HIP Link members to cover the following consistent with this rule:

(1) Monthly premiums.

(2) Out-of-pocket health care expenses.

(3) Wraparound services.

The office shall contribute a fixed amount to the account at the beginning of the HIP Link benefit period for each HIP Link member on the HIP Link eligible ESI plan. The POWER account funds of each HIP Link member on the same ESI plan may be pooled into one (1) POWER account.

  (b) The office shall reconcile this account following the HIP Link member's redetermination period under section 6 of this rule. The office shall contribute a fixed amount to an account tied to a new HIP Link benefit period at the beginning of such period.

  (c) The HIP Link member shall be responsible for a portion of the member's premium cost not to exceed two percent (2%) of the household income of all HIP Link members on the same ESI plan.

  (d) The HIP Link employer shall deduct the full premium amount from the HIP Link member employee's payroll. The office shall reimburse the HIP Link member employee the amount of the employee's portion of the premium in excess of the amount calculated under subsection (c). (Office of the Secretary of Family and Social Services; 405 IAC 10-11-8; filed Apr 6, 2016, 11:20 a.m.: 20160504-IR-405150325FRA)