Guest guest Posted September 17, 2005 Report Share Posted September 17, 2005 HHUUUUUUUHHHHHHHH???????? What is wrong with putting 'stuff' in English so that you can understand it?!?!? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2005 Report Share Posted September 17, 2005 Margaret: If you guys live in PA. I think you should qualify for it under MR. I would check it out at http://www.dpw.state.pa.us/oa/oaRdHippQa.asp Liz Liz > <<HIPP is Health Insurance Premium Plan where the state pays for the wage > earner & the child's insurance premiums whether it be directly to the > company > or directly to the wage earner. We are in PA. so I don't know if it is > available elsewhere.>> > > Hi, Everyone...Liz...is it through your MH/MR case worker or CBHMP? > That's > the one thing about this site....all the parents give helpful hints to > all > the others!!! How and who qualifies for it? Take care, > Everyone. > Margaret > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2005 Report Share Posted September 17, 2005 Here is another link for it as well.. http://www.dpw.state.pa.us/oa/oaRdHippQa.asp Liz > <<HIPP is Health Insurance Premium Plan where the state pays for the wage > earner & the child's insurance premiums whether it be directly to the > company > or directly to the wage earner. We are in PA. so I don't know if it is > available elsewhere.>> > > Hi, Everyone...Liz...is it through your MH/MR case worker or CBHMP? > That's > the one thing about this site....all the parents give helpful hints to > all > the others!!! How and who qualifies for it? Take care, > Everyone. > Margaret > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2005 Report Share Posted September 17, 2005 Margaret: The link didn't work...I cut & pasted the info for you.. Health Insurance Premium Payment Program Employer Group Health Plan Overview The Omnibus Budget Reconciliation Act of 1990 (OBRA '90) required all states to enact a program to identify cases in which enrollment of a Medicaid recipient in a group health plan is cost effective. An individual's enrollment in a group health plan is considered cost effective if the expenditures in Medicaid payments are likely to be greater than the cost of paying the premiums and cost sharing obligations under an employer group health plan for those services. Enrollment in a cost effective employer group health plan is a condition of Medicaid eligibility, except for an individual who is unable to enroll on his/her behalf. The Bureau of Financial Operations within the Department of Public Welfare was given the responsibility to implement this initiative, which is called the Health Insurance Premium Payment (HIPP) Program. Pennsylvania's HIPP Program consists of five regional offices, covering areas similar to the Office of Income Maintenance, County Assistance Office (CAO) regions. Although the HIPP Program receives referrals from many agencies and departments, the primary source of referrals is from the CAOs. When the availability of employment related group health insurance is identified during the intake or re-determination process, the information is added to the employer screen on the Client Information System (CIS). " Yes " responses to the HIPP questions on CIS generate weekly letters/applications to the client. Applications/referrals are received in the HIPP Regional Office, where they are evaluated for cost effectiveness and eligibility in the HIPP Program. Those cases determined to be cost effective are negotiated with employers, insurance carriers, and/or recipients to enroll recipients in the employer group health insurance and begin premium payments. Central Office Program Manager, HIPP Program PO Box 8195 burg, PA 17105-8195 1- Questions and Answers about HIPP Program Q: What is the Health Insurance Premium Payment Program (HIPP)? A: The HIPP Program is a cost containment program administered by the Pennsylvania Department of Public Welfare. The purpose of HIPP is to save taxpayer dollars by purchasing cost effective employment-related medical insurance available to Medical Assistance clients. Q: Who qualifies for HIPP? A: Active Medical Assistance (MA) recipients who have access to medical insurance through employment are referred to HIPP. HIPP representatives conduct a cost analysis based on who is eligible for the employer insurance, the amount of the premium, and the policy benefits. If the anticipated MA costs of the clients are greater than the cost of the employer insurance, they are enrolled in the HIPP Program. Q: Can the client choose not to participate in HIPP? A: No. If the available employer health insurance is determined to be cost effective, the client is required to participate in the HIPP Program as a condition of continued eligibility for Medical Assistance. The client maintains the ACCESS card, but the employer insurance is used as the primary medical resource. Q: What if the client is currently enrolled in a Department Managed Care Program? A: When clients are enrolled in the HIPP Program, they are automatically disenrolled from Managed Care. Q: Does the Client maintain their Medical Assistance eligibility and their ACCESS Card? A: Yes! A client must remain active in Medical Assistance (MA) to be eligible for HIPP. They use their ACCESS card in the same manner as every other Fee for Service client. HIPP clients are advised to use MA providers to ensure that MA is available to pay any policy deductibles or services not covered by the employer insurance. Q: Is the client responsible to pay any co-pays or deductibles required by the employer insurance? A: No! The client remains on Medical Assistance (MA) and, therefore, cannot be billed for any MA-covered service administered by a participating MA provider. Q: How does HIPP pay for the employer insurance? A: When a case is determined to be cost effective, HIPP representatives work with the employer and the client to enroll the client(s) in the employer insurance. HIPP premium payments are usually sent directly to the employer; however, payment can be made to the client when necessary. Q: What about non-Medical Assistance (MA) members in the household? A: Non-MA members are not considered when determining the cost effectiveness of the employer insurance. However, when non-MA persons are eligible for enrollment without increasing the premium amounts, they may enroll in the coverage. Q: Does the client have to be referred through the County Assistance Office (CAO)? A: No. Although most HIPP referrals are received from the CAO, persons wishing to be considered for enrollment in the HIPP Program, or other agencies acting on their behalf, may do so by phoning the toll free number of their HIPP Program Regional Office. Health Insurance Premium Payment Regions Chestnut Ridge Regional Office Counties: Allegheny, Fayette, Indiana, Jefferson, Somerset PO Box H Torrance, PA 15779-0115 1- s Summit Regional Office Counties: Bradford, Bucks, Carbon, Centre, Clinton, Lackawanna, Lehigh, Luzerne, Lycoming, Monroe, Montgomery, Montour, Northampton, Pike, Sullivan, Susquehanna, Tioga, Wayne, Wyoming Third Floor Administration Building Newton Hall s Summit, PA 18411 1- burg Regional Office Counties:, Berks, Blair, Chester, Columbia, Cumberland, Dauphin, Delaware, lin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Northumberland, , Schuylkill, Snyder, Union, York PO Box 8195 burg, PA 17105-8195 1- Torrance Regional Office Counties: Armstrong, Beaver, Bedford, Cambria, Greene, Philadelphia, Washington, Westmoreland PO Box H Torrance, PA 15779-0115 1- Warren Regional Office Counties: , Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Forest, Lawrence, McKean, Mercer, Potter, Venango, Warren 185 Hospital Drive Warren, PA 16365 1- Liz > <<HIPP is Health Insurance Premium Plan where the state pays for the wage > earner & the child's insurance premiums whether it be directly to the > company > or directly to the wage earner. We are in PA. so I don't know if it is > available elsewhere.>> > > Hi, Everyone...Liz...is it through your MH/MR case worker or CBHMP? > That's > the one thing about this site....all the parents give helpful hints to > all > the others!!! How and who qualifies for it? Take care, > Everyone. > Margaret > > > > > Quote Link to comment Share on other sites More sharing options...
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