465 Ind. Admin. Code 4-2-24

Current through October 31, 2024
Section 465 IAC 4-2-24 - Medical insurance coverage for child

Authority: IC 31-25-2-18

Affected: IC 12-15-2-14; IC 12-17.6-3; IC 12-17.6-4-2; IC 31-9-2-17.8; IC 31-25-2-7; IC 31-25-2-8

Sec. 24.

(a) This section applies if the child is not eligible for guardianship assistance under a Title IV-E guardianship assistance agreement.
(b) The guardian shall apply on behalf of the child for continuation of any medical insurance or assistance for which the child is eligible under IC 12-15-2-14, IC 12-17.6-3, or any other applicable law that provides financial assistance for medical or health care expenses.
(c) Eligibility of the child for Medicaid or the children's health insurance program (CHIP) while a resident of Indiana shall be determined by the family and social services administration, division of family resources.
(d) If the child is not eligible for:
(1) medical insurance or assistance provided through the Indiana Medicaid program or CHIP; or
(2) the Medicaid or other state health insurance program available in the state where the child is residing with the eligible guardian;

the guardian shall obtain private health insurance coverage for the child that provides benefits substantially equivalent to the benefits that would be provided under IC 12-17.6-4-2 if the child were eligible for coverage under IC 12-17.6-3.

(e) The guardian must maintain medical insurance coverage for the child, in the manner provided in this section, as a condition to continued eligibility for monthly assistance payments under this rule. The guardian shall provide to the department, upon request, satisfactory evidence that the required coverage is in effect.

465 IAC 4-2-24

Department of Child Services; 465 IAC 4-2-24; filed 12/14/2016, 12:05 p.m.: 20170111-IR-465160216FRA
Readopted filed 4/8/2022, 2:22 p.m.: 20220504-IR-465220018RFA