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Home » US Law » 2022 Indiana Code » Title 12. Human Services » Article 15. Medicaid » Chapter 39.6. Long Term Care Program

12-15-39.6-0.5. Asset Disregard; Date for Discontinuing Long Term Care Program

Sec. 0.5. (a) Notwithstanding IC 12-15-39.8, the asset disregard under section 10 of this chapter applies to any qualified long term care policy to which this chapter applies. (b) This chapter does not apply to a qualified long term care policy issued after the long term care program established by this chapter is discontinued. (c) […]

12-15-39.6-1. “Long Term Care” Defined

Sec. 1. As used in this chapter, “long term care” means the provision of the following services in a setting other than an acute care wing of a hospital to enable individuals whose functional capacities are chronically impaired to be maintained at their maximum level of health and well-being: (1) Physician’s services. (2) Nursing services. […]

12-15-39.6-10. Asset Disregard Adjustment

Sec. 10. (a) As used in this section, “asset disregard” means one (1) of the following: (1) A one dollar ($1) increase in the amount of assets an individual who: (A) purchases a qualified long term care policy; and (B) meets the requirements under section 8 of this chapter; may retain under IC 12-15-3 for […]

12-15-39.6-12. Discontinuation of Program

Sec. 12. If the Indiana long term care program is discontinued, an individual who purchased a qualified long term care policy prior to the date the program is discontinued is eligible to receive an asset disregard as defined under section 10 of this chapter. As added by P.L.24-1997, SEC.53.

12-15-39.6-13. Reciprocal Agreements to Extend Asset Disregard

Sec. 13. The office of Medicaid policy and planning may enter into reciprocal agreements with other states to extend the asset disregard under section 10 of this chapter to Indiana residents who had purchased qualified long term care policies in other states. As added by P.L.24-1997, SEC.53.

12-15-39.6-14. Rules

Sec. 14. The secretary of family and social services may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.24-1997, SEC.53.

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, […]

12-15-39.6-3. “Long Term Care Insurance” Defined

Sec. 3. (a) As used in this chapter, “long term care insurance” means insurance coverage for at least twelve (12) consecutive months for each covered person on an expense incurred, indemnity, or prepaid basis for one (1) or more necessary long term care services provided in a setting other than an acute care wing of […]

12-15-39.6-5. “Qualified Long Term Care Policy” Defined

Sec. 5. As used in this chapter, “qualified long term care policy” means an insurance policy that: (1) provides long term care insurance; (2) meets: (A) the definition set forth in IC 27-8-12-5; and (B) the standards established under IC 27-8-12-7.1; and (3) is issued by an insurer or other person who complies with section […]

12-15-39.6-6. Establishment and Administration of Program

Sec. 6. (a) The Indiana long term care program is established to do the following: (1) Provide incentives for individuals to insure against the costs of providing for their long term care needs. (2) Provide a mechanism for individuals to qualify for coverage of the costs of their long term care needs under the Medicaid […]

12-15-39.6-7. Information on Long Term Care Insurance; Availability; Assistance

Sec. 7. (a) The department of insurance or the agency with which the department of insurance has contracted under section 6(b) of this chapter shall make available to any individual interested in participating in a long term care program information concerning the following: (1) The Indiana long term care program established under this chapter. (2) […]

12-15-39.6-8. Eligibility

Sec. 8. An individual who is either: (1) the beneficiary of a qualified long term care policy approved by the department of insurance; or (2) enrolled in a health maintenance organization that both provides long term care services and meets the requirements under sections 4 and 5 of this chapter; is eligible for assistance under […]

12-15-39.6-9. Policy Provisions

Sec. 9. (a) An insurer or other person who issues a qualified long term care policy under this chapter must at a minimum offer to each policyholder or prospective policyholder a policy that provides both: (1) long term care facility coverage; and (2) home and community care coverage. (b) An insurer or other person who […]