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    v1.0.28
    OpenPayerPolicy UpdatesAdministrative/Operational PolicyIndiana Parolee Medicaid Coverage | OpenPayer
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    CurrentIndiana Department of InsurancePolicy 2402.20.20

    Parolees Under Section 212(d)(5)

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    This policy governs Medicaid eligibility and coverage transitions for individuals granted parole under Section 212(d)(5) of the INA, including full Medicaid eligibility, Emergency Services Only coverage, and immigration-document verification.

    Policy Summary
    PayerIndiana Department of Insurance
    PolicyParolees Under Section 212(d)(5)
    Policy CodePolicy 2402.20.20
    Change TypeNo material change
    Effective DateOctober 1, 2026
    Next Review DateNot specified
    Key ActionVerify immigration status using the required USCIS documentation before determining Medicaid eligibility.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    ≥1 yearMinimum parole period
    ConditionalFull Medicaid eligibility
    ESOFallback coverage
    4Document references

    Coverage Eligibility and Transition Criteria

    Policy Summary
    PayerIndiana Department of Insurance
    PolicyParolees Under Section 212(d)(5)
    Policy CodePolicy 2402.20.20
    Change TypeNo material change
    Effective DateOctober 1, 2026
    Next Review DateNot specified
    Key ActionVerify immigration status using the required USCIS documentation before determining Medicaid eligibility.
    SourceLink
    On This Page
    Coverage Eligibility and Transition CriteriaEligibility Duration RequirementVerification and Coverage Determination

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    Coverage eligibility and transition criteria

    For individuals granted parole under Section 212(d)(5) of the INA for at least one year:

    ALL of the following

    • Eligibility requirements

      • Parole was granted under Section 212(d)(5) of the INA for at least one year.At least 1 year

      • ONE of

        • The individual has adjusted to a qualified non-citizen status.
        • The individual meets a federal exemption.

    • Coverage outcome

      • The individual is eligible for full Medicaid coverage when the qualified non-citizen status or federal exemption requirement is met.

    If the individual does not attain or adjust to a federally qualified status

    • Transition the individual to Emergency Services Only Medicaid coverage (ESO).

    Eligibility Duration Requirement

    Minimum Parole Duration
    Minimum parole durationAt least one year

    Verification and Coverage Determination

    Documentation Required

    Establish full Medicaid eligibility

    Determine full Medicaid eligibility for an individual granted parole under Section 212(d)(5) for at least one year only after the individual adjusts to a qualified non-citizen status or meets a federal exemption.

    Denial Risk

    Transition ineligible individuals to ESO

    Individuals who fail to attain or adjust to a federally qualified status should be transitioned to Emergency Services Only Medicaid coverage (ESO).

    Documentation Required

    Verify parole and immigration status

    Verify immigration status by reviewing the required USCIS documentation and confirming that parole was granted under Section 212(d)(5) of the INA for at least one year.

    • Form I-94 annotated with a stamp showing parole under Section 212(d)(5) of the INA and a date showing parole for at least one year
    • Form I-688B annotated 274a.12(a)(4) or 274a.12(c)(11)
    • Form I-766 annotated C11 or A4