Statutes, codes, and regulations
Indiana Administrative Code
Title 410 - INDIANA DEPARTMENT OF HEALTHArticle 3.2 - CHILDREN WITH SPECIAL HEALTH CARE NEEDS
Rule 410 IAC 3.2-3 - Reevaluation of Eligibility
Section 410 IAC 3.2-3-1 - Reevaluation of eligibility and criteria for closure

410 Ind. Admin. Code 3.2-3-1

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Current through November 6, 2024
Section 410 IAC 3.2-3-1 - Reevaluation of eligibility and criteria for closure

Authority: IC 16-35-2-7

Affected: IC 16-35-2

Sec. 1.

(a) The state department of health shall reevaluate the financial eligibility and medical eligibility of the children enrolled in the CSHCN program no less frequently than every twelve (12) months.
(b) Upon completion of an annual reevaluation, the state department of health shall stop providing or paying for health care services as of a date certain for one (1) or more of the following reasons, including, but not limited to:
(1) Death of the child.
(2) Child has reached twenty-one (21) years of age.
(3) Child is no longer an Indiana resident.
(4) Location of child or family is unknown.
(5) Child or the child's family refuses further health care services.
(6) Child is institutionalized in a public or private facility that provides health care services.
(7) Child or the child's family fails to cooperate in the process of determining or reevaluating financial or medical eligibility.
(8) For a child not enrolled as of December 31, 1992, the child or the child's family is financially ineligible for the CSHCN program.
(9) For a child not enrolled as of December 31, 1992, the child's physical condition no longer meets the criteria for medical eligibility for the CSHCN program.
(10) Child or the child's family voluntarily withdraws from the CSHCN program.
(11) Failure of the child or family to disclose or utilize health insurance benefits.
(12) Failure of the child or family to disclose any of the following:
(A) Monetary gifts.
(B) Contributions.
(C) Funds raised by popular subscription to assist a child.
(D) Prizes.
(E) Winnings.
(F) Awards.
(G) Inheritances.
(13) The recommendations contained in the child and family service plan have been met.
(c) Any child enrolled in the program as of December 31, 1992, shall be deemed financially and medically eligible and shall not thereafter be removed from the program solely because the child would become medically or financially ineligible under 410 IAC 3.2-6-1(a), 410 IAC 3.2-6-1(b), or 410 IAC 3.2-6-2(b).

410 IAC 3.2-3-1

Indiana State Department of Health; 410 IAC 3.2-3-1; filed Apr 12, 1993, 5:00 p.m.: 16 IR 2174; errata filed Jul 27, 1993, 9:00 a.m.: 16 IR 2859; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Sep 11, 2013, 3:19 p.m.: 20131009-IR-410130346RFA
Readopted filed 11/13/2019, 3:14 p.m.: 20191211-IR-410190391RFA