Common use of HIP Basic Clause in Contracts

HIP Basic. HIP members with income at or below one hundred percent (100%) FPL who do not make either their fast track prepayment, initial or subsequent POWER Account contributions as required by Section 4.1.1 will not be eligible for HIP Plus, and will be transferred to a more limited benefit package, which requires copayments for services as set forth in Section 4.1.2 (HIP Basic). 3.2.1 HIP Basic Potential Plus If a member is determined to now be eligible for HIP Plus, they will be assigned to the Basic benefit package called HIP Basic Potential Plus. This could apply to a member who had other IHCP coverage and transitioned into the HIP program, a member who was previously covered under Presumptive eligibility, or a member who has earned rollover as a result of the POWER Account reconciliation process. The member will remain in Potential Plus status until the first POWER Account contribution or the fast track payment is made. The member has sixty (60) days to make a payment and move to HIP Plus. Once the Contractor receives the POWER Account contribution, they will notify the state via the payday file submitted to CoreMMIS. Once the member’s payment is applied they will be moved to HIP Plus and the Contractor will be notified via the 834 of the benefit plan change.

HIP Basic. HIP members with income at or below one hundred percent (100%) FPL who do not make either their fast fast-track prepayment, initial or subsequent POWER Account contributions as required by Section 4.1.1 will not be eligible for HIP Plus, and will be transferred to a more limited benefit package, which requires copayments for services as set forth in Section 4.1.2 (HIP Basic). 3.2.1 HIP Basic Potential Plus If a member is determined to now be eligible for HIP Plus, they will be assigned to the Basic benefit package called HIP Basic Potential Plus. This could apply to a member who had other IHCP coverage and transitioned into the HIP program, a member who was previously covered under Presumptive eligibility, or a member who has earned rollover as a result of the POWER Account reconciliation process. The member will remain in Potential Plus status until the first POWER Account contribution or the fast fast-track payment is made. The member has sixty (60) days to make a payment and move to HIP Plus. Once the Contractor receives the POWER Account contribution, they will notify the state via the payday file submitted to CoreMMIS. Once the member’s payment is applied applied, they will be moved to HIP Plus and the Contractor will be notified via the 834 of the benefit plan change.