Library: Policy

317:35-16-4. Determining financial eligibility of categorically needy individuals

Issued 3-28-23

Financial eligibility for State Plan Personal Care (SPPC) services for categorically needy individuals is determined as follows:

(1) Financial eligibility for Modified Adjusted Gross Income (MAGI) eligibility groups. See MAGI eligibility rules in Subchapter 6 of this Chapter to determine financial eligibility.

(2) Determining financial eligibility for State Plan Personal Care (SPPC). For individuals determined categorically needy for SPPC, the member will not pay a vendor payment for SPPC services.