HIP State Plan Clause Samples
The HIP State Plan clause defines the requirements and obligations related to a state's Health Insurance Program (HIP) plan as part of an agreement or regulatory framework. It typically outlines the standards the state must meet, the procedures for submitting and updating the plan, and the criteria for federal approval or oversight. For example, it may specify the types of benefits covered, eligibility criteria, and reporting requirements. The core function of this clause is to ensure that the state's HIP plan complies with federal guidelines and maintains consistency, transparency, and accountability in the administration of health insurance programs.
HIP State Plan. The Contractor shall provide HIP State Plan benefits to HIP members meeting any of the eligibility criteria listed in this Section 3.3. Unless otherwise exempt from cost-sharing as set forth in Section 4.1.4, all members receiving HIP State Plan benefits will either pay monthly POWER Account contributions consistent with the HIP Plus plan as set forth in Section 4.1.1 (HIP State Plan Plus) or, if at or below 100% FPL or other eligible for HIP State Plan Basic pursuant to Section 4.7.1.1, pay copayments for services as required under the HIP Basic plan as set forth in Section 4.1.2 (HIP State Plan Basic).
3.3.1 Low Income Adults Section 1931 eligible parents and caretaker relatives eligible under 42 CFR 435.110, shall receive HIP State Plan benefits.
HIP State Plan. The Contractor shall provide HIP State Plan benefits to HIP members meeting any of the eligibility criteria listed in this Section 3.3. Unless otherwise exempt from cost-sharing as set forth in Section 4.1.4, all members receiving HIP State Plan benefits will either pay monthly POWER Account contributions consistent with the HIP Plus plan as set forth in Section 4.1.1 (HIP State Plan Plus) or, if at or below 100% FPL or other eligible for HIP State Plan Basic pursuant to Section 4.7.1.1, pay copayments for services as required under the HIP Basic plan as set forth in Section 4.1.2 (HIP State Plan Basic).