405 IAC 8-4-1 General requirements

Sec. 1. (a) A completed applicant file will be processed by the office and must include verification of the following: (1) That an applicant has completed the Application for Help with Medicare Prescription Drug Plan Costs and received a determination from the Social Security Administration. If the applicant is confident they will be denied low-income subsidy due to resources, HoosierRx may make the income and resource determination. (2) Of an applicant's enrollment in a Medicare Part D plan that has contracted with the IPDP to provide state benefits in coordination with Medicare Part D. (b) Applicant file information may be submitted to the office by mail or telephone, facsimile, or over the Internet. (c) An applicant who does not have a complete applicant file will be determined ineligible. (d) After a completed applicant file has been processed and approved by the office, the office will notify the member's Medicare Part D plan of the member's eligibility for benefits under the IPDP. (e) If the office receives an eligible applicant's completed applicant file on or before the fifteenth day of the month, the applicant shall be eligible for program benefits beginning the first day of the following month. If the office receives an eligible applicant's completed applicant file after the fifteenth day of the month, the applicant shall be eligible to receive program benefits beginning the first day of the month after the following month. (f) Following the expiration of the enrollee's last benefit period, the individual must have a redetermination of eligibility for IPDP benefits.