reglab/housing_qa huggingface dataset:
IN Code § 12-15-39.6-15 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.6. Long Term Care Program|12-15-39.6-15. Asset Disregard for Long Term Care Policyholders

Sec. 15. An individual who:(1) owns, as of January 1, 1998, a qualified long term care policy; and(2) has not exhausted the benefits of the qualified long term care policy described in subdivision (1);is entitled to receive an asset disregard as provided in section 10 of this chapter.As added by P.L.16-2009, SEC.19.
IN Code § 12-15-39.8-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-1. Applicability of Chapter

Sec. 1. This chapter applies to qualified long term care insurance policies that are entered into, issued, or renewed after June 30, 2022.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-2. "Program"

Sec. 2. As used in this chapter, "program" means the Indiana long term care insurance partnership program established by section 4(a) of this chapter.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-3. "Qualified Long Term Care Insurance Policy"

Sec. 3. As used in this chapter, "qualified long term care insurance policy" means an insurance policy that meets the following requirements:(1) The policy covers an individual who was a resident of the state when the coverage first became effective under the policy.(2) The policy was not issued before the effective date of the state plan amendment applied for under IC 12-15-1.3-22.(3) The policy meets the definition of a qualified long term care insurance contract under 26 U.S.C. 7702B.(4) The policy meets the model regulations and requirements of the model act of the National Association of Insurance Commissioners provided in 42 U.S.C. 1396p(b)(5).(5) The policy includes inflation protection as follows:(A) If the policy is sold to an individual who was less than sixty-one (61) years of age as of the date of purchase, the policy must provide compound inflation protection.(B) If the policy is sold to an individual who was at least sixty-one (61) years of age but less than seventy-six (76) years of age as of the date of purchase, the policy must provide some level of inflation protection.(C) If the policy is sold to an individual who is at least seventy-six (76) years of age, the policy may, but is not required to, provide some level of inflation protection.(6) The department of insurance certifies that the policy meets the requirements of subdivisions (3), (4), and (5).As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-4. Establishment and Administration of Program

Sec. 4. (a) The Indiana long term care insurance partnership program is established.(b) The office of Medicaid policy and planning and the department of insurance shall administer the program in accordance with Section 6021 of the federal Deficit Reduction Act of 2005.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-5. Applying Asset Disregard

Sec. 5. Under the program, the office of Medicaid policy and planning must exclude and disregard an amount equal to the amount of benefits an individual receives under a qualified long term care insurance policy when determining the following:(1) The individual's resources for purposes of determining eligibility for Medicaid under IC 12-15-3.(2) The amount to be recovered from the individual's estate under IC 12-15-9 if the individual is eligible for Medicaid.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-6. Training Program for Insurance Producers

Sec. 6. (a) The department of insurance shall develop a training program for insurance producers who sell qualified long term care insurance policies that includes a certified prelicensing course and continuing education courses. The courses must cover, at a minimum, the following topics:(1) State and federal regulations and requirements and the relationship between qualified long term care insurance policies and other public and private coverage of long term care services, including Medicaid.(2) Available long term care services and providers.(3) Changes or improvements in long term care services or providers.(4) Alternatives to the purchase of private long term care insurance.(5) The effect of inflation on benefits and the importance of inflation protection.(6) Consumer suitability standards and guidelines.(b) An insurance producer must:(1) complete the certified prelicensing course established under subsection (a) before the insurance producer may sell, solicit, or negotiate a qualified long term care insurance policy; and(2) attend a continuing education course established under subsection (a) at least once every twenty-four (24) months to continue to sell, solicit, or negotiate a qualified long term care insurance policy.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-7. Reporting Requirements

Sec. 7. An insurer that issues a qualified long term care insurance policy shall provide regular reports to:(1) the Secretary of the United States Department of Health and Human Services, as required by federal regulations; and(2) the office of Medicaid policy and planning and the department of insurance, as required by those entities.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-39.8-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 39.8. Long Term Care Insurance Partnership Program|12-15-39.8-8. Rules

Sec. 8. The secretary of family and social services and the department of insurance may adopt rules under IC 4-22-2 necessary to implement this chapter.As added by P.L.196-2021, SEC.6.
IN Code § 12-15-40-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-1. Applicability of Chapter

Sec. 1. This chapter applies to a hospice program that has been approved by the office to provide hospice services to hospice program patients.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-2. "Hospice" Defined

Sec. 2. (a) As used in this chapter, "hospice" means a person or health care provider who owns or operates a hospice program or facility, or both, that uses an interdisciplinary team directed by a licensed physician to provide a program of planned and continuous care for hospice program patients and their families.(b) The term includes a program that:(1) provides a continuum of medical or nursing care and other hospice services to hospice program patients that complies with:(A) the:(i) conditions of participation for inpatient units under 42 U.S.C. 1395 et seq.; and(ii) accreditation standards as provided in the Medicare program under 42 U.S.C. 1395x(dd)(2); and(B) standards adopted under this article; and(2) provides hospice services to hospice program patients and complies with standards adopted under this article.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-3. "Hospice Program" Defined

Sec. 3. (a) As used in this chapter, "hospice program" means a specialized form of interdisciplinary health care that is designed to alleviate the physical, emotional, social, and spiritual discomforts of an individual who is experiencing the last phase of a terminal illness or disease.(b) The term does not include services provided by a hospital, a health facility, an ambulatory outpatient surgical center, or a home health agency unless the entity has a distinct hospice program.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-4. "Hospice Program Patient" Defined

Sec. 4. As used in this chapter, "hospice program patient" means a terminally ill patient who:(1) has been diagnosed by a licensed physician as having a terminal illness;(2) is expected to die from the terminal illness within six (6) months; and(3) receives hospice services from a hospice program.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-5. "Hospice Services" Defined

Sec. 5. As used in this chapter, "hospice services" means:(1) palliative care for the physical, psychological, social, spiritual, and other special needs of a hospice program patient during the final stages of a hospice program patient's terminal illness; and(2) care for the psychological, social, spiritual, and other needs of the hospice program patient's family before and after the hospice program patient's death.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-6. Payment Rate

Sec. 6. The office shall, under 42 U.S.C. 1396 et seq., establish a payment rate to a hospice program for hospice services provided to hospice program patients who are eligible for medical assistance under this article.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-7. Conditions of Payment

Sec. 7. Payment to a hospice program must meet the following conditions:(1) Be determined in accordance with a prospective payment rate that is reasonable and adequate to meet the costs that must be incurred by efficiently and economically operated hospice programs to provide services in conformity with applicable state and federal laws, rules, and regulations, including the federal Social Security Act, and quality and safety standards.(2) Include the increased costs for medical care, including physician and nursing care, intensive case management, social services, and pharmaceutical and allied health costs.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-40-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 40. Payment for Hospice Services|12-15-40-8. Adoption of Rules

Sec. 8. The office shall adopt rules under IC 4-22-2 to implement this chapter.As added by P.L.24-1997, SEC.54.
IN Code § 12-15-41-1 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-1. "Buy-in Program"

Sec. 1. As used in this chapter, "buy-in program" refers to the Medicaid buy-in program for working individuals with disabilities established by section 3 of this chapter.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-2 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-2. "Countable Resources"

Sec. 2. As used in this chapter, "countable resources" means all cash, other liquid assets, real property, and personal property owned by an applicant for or a recipient of Medicaid under this chapter, or the spouse of an applicant or a recipient, that could be converted to cash to be used for support or maintenance, except the following:(1) All resources disregarded by the office under this article for the purpose of determining eligibility for Medicaid.(2) Any resource eligible for exclusion under 42 U.S.C. 1396a(r)(2), including a retirement account established under 26 U.S.C. 220 and held by either the applicant or recipient or the applicant's or recipient's spouse.(3) Subject to approval by the office, not more than twenty thousand dollars ($20,000) in independence and self-sufficiency accounts held by the applicant or recipient for the sole purpose of purchasing goods or services, including assistive technology and personal assistance, that:(A) will increase the employability or independence of the applicant or recipient; and(B) are not services to which the recipient is entitled under Medicaid or any other publicly funded program.As added by P.L.287-2001, SEC.9. Amended by P.L.197-2011, SEC.42.
IN Code § 12-15-41-3 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-3. Establishment

Sec. 3. The Medicaid buy-in program for working individuals with disabilities is established to provide, beginning July 1, 2002, Medicaid to individuals who are disabled and employed, as authorized under Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170, 42 U.S.C. 1396 et seq.).As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-4 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-4. Exemptions From Eligibility Requirements

Sec. 4. To participate in the buy-in program beginning July 1, 2002, an individual must meet the eligibility requirements under IC 12-15-2-6, except as follows:(1) The individual has a severe medically determinable impairment without regard to the individual's employment status.(2) The individual must be at least sixteen (16) years of age but not more than sixty-four (64) years of age.(3) The individual must be engaged in a substantial and reasonable work effort as determined by the office and as permitted by federal law.(4) The individual does not have countable resources that exceed the resource limits for the federal Supplemental Security Income program (42 U.S.C. 1382).(5) The individual's annual gross income does not exceed three hundred fifty percent (350%) of the federal income poverty level for an individual. In determining an individual's income under this subdivision, the office may not consider the following:(A) The income of the individual's spouse.(B) Income disregarded under the state Medicaid plan's financial methodology, including income disregarded under the federal Supplemental Security Income program (42 U.S.C. 1382) as impairment related work expenses (IRWE).As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-5 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-5. Continued Eligibility Requirements After Change in Circumstances

Sec. 5. An individual who is enrolled in the buy-in program and who no longer meets the eligibility requirements set forth in section 4 of this chapter due to an improvement in the individual's medical condition continues to be eligible for Medicaid coverage under the buy-in program if the individual meets the following requirements:(1) The individual continues to have a severe medically determinable impairment, as determined by the office and as allowed by federal law.(2) The individual is employed and earning a monthly wage that is not less than the federal minimum hourly wage times forty (40).(3) The individual does not have income or countable resources in excess of the limits established under section 4 of this chapter.(4) The individual is at least sixteen (16) years of age and less than sixty-five (65) years of age.(5) The individual pays any premiums or other cost sharing required under this chapter.(6) The individual meets all other eligibility requirements under this chapter.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-6 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-6. Continued Eligibility if Unable to Maintain Employment

Sec. 6. (a) An individual who is enrolled in the buy-in program and who is unable to maintain employment for involuntary reasons, including temporary leave due to a health problem or involuntary termination, continues to be eligible for Medicaid coverage under the buy-in program if the individual meets the following requirements:(1) Within sixty (60) days after the date on which the individual becomes unemployed, the individual, or an authorized representative of the individual, submits a written request to the office that the individual's Medicaid coverage be continued.(2) The individual maintains a connection to the workforce during the individual's continued eligibility period by participating in at least one (1) of the following activities:(A) Enrollment in a state or federal vocational rehabilitation program.(B) Enrollment or registration with the office of workforce development.(C) Participation in a transition from school to work program.(D) Participation with an approved provider of employment services.(E) Provision of documentation from the individual's employer that the individual is on temporary involuntary leave.(3) The individual does not have income or countable resources in excess of the limits established under section 4 of this chapter.(4) The individual is at least sixteen (16) years of age and less than sixty-five (65) years of age.(5) The individual pays any premiums or other cost sharing required under this chapter.(6) The individual meets all other eligibility requirements under this chapter.(b) The office shall continue Medicaid coverage under the buy-in program for an individual described in subsection (a) for up to twelve (12) months from the date of the individual's involuntary loss of employment.(c) If an individual is ineligible for continued coverage under the buy-in program because the individual:(1) fails to meet the requirements of subsection (a); or(2) has already met twelve (12) months of continuing eligibility under this section;the individual must meet the eligibility requirements of IC 12-15-2-6 to continue to be eligible for Medicaid.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-7 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-7. Sliding Scale of Premiums

Sec. 7. (a) The office shall develop a sliding scale of premiums for individuals participating in the buy-in program.(b) The sliding scale of premiums required under subsection (a) must:(1) be based on the annual gross income of the individual and, if married, the individual's spouse; and(2) provide for a minimum monthly premium of twenty-five dollars ($25) and a maximum monthly premium of two hundred seventy-five dollars ($275).(c) Subject to the minimum and maximum amounts described in subsection (b), the office may annually adjust the scale of premiums adopted under this section.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-8 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-8. Premiums

Sec. 8. (a) An individual whose gross annual income, including the gross annual income of the individual's spouse, if married, is less than one hundred fifty percent (150%) of the federal income poverty level for the size of the individual's or couple's family may not be required to pay a premium to participate in the buy-in program.(b) An individual whose gross annual income, including the gross annual income of the individual's spouse, if married, is at least one hundred fifty percent (150%) but not more than three hundred fifty percent (350%) of the federal income poverty level for the size of the individual's or couple's family, must pay a monthly premium in an amount equal to:(1) the lesser of:(A) the amount prescribed by the sliding scale developed by the office under section 7 of this chapter; or(B) seven and one-half percent (7 1/2%) of the individual's or couple's gross annual income divided by twelve (12); minus(2) the monthly amount of any premium paid by the individual, the individual's spouse, or the individual's parent for health insurance that covers the individual.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-9 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-9. Annual Review of Premiums; Adjustment of Premiums

Sec. 9. (a) The office shall annually review the amount of the premium that an individual is required to pay under section 8 of this chapter.(b) In addition to the annual review required under subsection (a), the office shall adjust the premium that an individual is required to pay under section 8 of this chapter if:(1) a change in the individual's income or family size is verified; and(2) the sliding scale adopted under section 7 of this chapter applied to the individual's changed circumstances prescribes a premium for the individual that is different from the premium the individual is paying.As added by P.L.287-2001, SEC.9. Amended by P.L.26-2003, SEC.3.
IN Code § 12-15-41-10 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-10. Administrative Procedures Regarding Premiums

Sec. 10. To the greatest extent possible, the office shall use the same administrative procedures regarding premiums for the buy-in program as are used for the children's health insurance program established under IC 12-17.6, including:(1) the effect of nonpayment of a premium; and(2) the collection of premiums.As added by P.L.287-2001, SEC.9.
IN Code § 12-15-41-11 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-11. Annual Redetermination of Disability

Sec. 11. (a) The office shall establish criteria to base the annual redetermination of disability required under 405 IAC 2-2-3(b) for an individual participating in the buy-in program on the individual's medical evidence, including evidence of physical or mental impairment.(b) In conducting the annual redetermination described in subsection (a), the office may not determine that an individual participating in the buy-in program is no longer an individual with a disability based solely on the individual's:(1) participation in employment;(2) earned income; or(3) income from self-employment.As added by P.L.287-2001, SEC.9. Amended by P.L.99-2007, SEC.96.
IN Code § 12-15-41-12 (2021)
2021 Indiana Code|Title 12. Human Services|Article 15. Medicaid|Chapter 41. Medicaid Buy-in Program for Working Individuals With Disabilities|12-15-41-12. Home Health Care Services; Cost Sharing

Sec. 12. Except as otherwise provided in this chapter, an individual participating in the buy-in program:(1) shall receive the same benefits, including home health care services; and(2) is subject to the same requirements, including cost sharing;as an individual receiving Medicaid under IC 12-15-2-6.As added by P.L.287-2001, SEC.9.