HIP State Plan Plus definition

HIP State Plan Plus means the benefits available to HIP State Plan members with household income up to and including one hundred thirty-three percent (133%) of the FPL who make the required POWER account contributions as set forth in 405 IAC 10-10-3(a).
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HIP State Plan Plus means the benefits available to HIP State Plan members with household income up to and including one hundred thirty-three percent (133%) of the FPL who make the required POWER account contributions as set forth in SECTION 45(a) of this document.
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Examples of HIP State Plan Plus in a sentence

  • Therefore, enhanced benefits and services shall only be offered to HIP Plus and HIP State Plan Plus members.

  • The Contractor shall be responsible for billing, collecting and applying applicable POWER Account contributions for members receiving HIP Plus or HIP State Plan Plus benefits.

  • Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions.

  • If a HIP Basic or HIP State Plan Basic member is eligible for a discount for participation in HIP Plus, the Contractor shall notify the member of the opportunity to transfer to HIP Plus benefits or HIP State Plan Plus at the discounted rate.

  • These additional pharmacy services shall only be made available to individuals participating in HIP Plus and HIP State Plan Plus benefits.

  • As detailed in Section 6.16, the Contractor shall ensure that member cost sharing as set forth in this Section 4.1 does not exceed 5% of family income as calculated on a quarterly basis, except that all HIP Plus or HIP State Plan Plus members whose household income is at or below five percent (5%) of the FPL will be required to contribute, at a minimum, monthly one dollar ($1.00) POWER account contributions.

  • Except for members terminating from the program who are subject to non-payment penalties for such termination as described below, the amount payable to the member shall be determined as follows:  Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.

  • If a HIP Plus member or HIP State Plan Plus member receives any recommended preventive care service during the calendar year benefit period, the member will be eligible to have their unused share, or “roll-over amount”, doubled by the State as an added incentive.

  • Members may regain access to HIP State Plan Plus without copayments during their 12-month eligibility redetermination in accordance with Section 5.6.

  • Except for members terminating from the program who are subject to non-payment penalties for such termination as described below, the amount payable to the member shall be determined as follows: ▪ Step One: Determine the amount of POWER account contributions owed by the individual for the months of enrollment in HIP Plus or HIP State Plan Plus.