405 IAC 10-3-4 Enrollment for pregnant women

Sec. 4. (a) This section applies to a pending applicant who is also a pregnant woman. (b) An applicant once determined eligible shall be considered conditionally eligible for HIP Plus unless such individual is eligible for HIP State Plan benefits. (c) Pregnant members shall begin coverage in HIP Maternity benefits on the first day of the month following the eligibility determination on the application. (d) Pregnant members shall be evaluated for coverage under traditional Medicaid for a period of up to ninety (90) days prior to the application submission in the following manner: (1) The coverage shall be provided under the fee for service model. (2) Members in HIP Maternity shall have no cost sharing obligations as provided for in 405 IAC 10-4-6. (e) Eligible applicants under this section are not eligible for fast track enrollment in section 3 of this rule. (f) Eligible applicants under this section shall not use the standard enrollment procedures in section 2 of this rule.