Section 405IAC10-11-6. Redetermination

   (a) A HIP Link member shall be subject to a redetermination process at the end of the employer's benefit period to determine continued eligibility for participation in HIP Link. A HIP Link member may be asked to submit documentation necessary for the division to determine continued eligibility. A HIP Link member may elect to transfer to HIP during the redetermination period.

  (b) If a HIP Link member does not provide the requested documentation under subsection (a) before the end of the employer's benefit period, the member shall be disenrolled from HIP Link. However, within ninety (90) days of the end of the expired benefit period, such HIP Link member may submit the requested information to the division without having to reapply for the plan. Such member shall not be eligible to receive services during this ninety (90) day period.

  (c) A HIP Link member disenrolled under subsection (b) shall not be allowed to reapply for HIP Link or HIP for six (6) months from the date of disenrollment unless such member is:

(1) medically frail;

(2) a Section 1931 parent and caretaker relative;

(3) eligible for transitional medical assistance;

(4) a low income dependent; or

(5) eligible for an exception under 405 IAC 10-10-13.

  (d) Notwithstanding subsection (a), a HIP Link member shall report any change that may impact such member's eligibility to the division within thirteen (13) days following such change. A HIP Link member who does not timely report such changes may be subject to recoupment of the cost of any benefits provided to such member during any period of ineligibility. (Office of the Secretary of Family and Social Services; 405 IAC 10-11-6; filed Apr 6, 2016, 11:20 a.m.: 20160504-IR-405150325FRA)