When cost-effective, DMA will pay for employee-related health insurance for Medicaid-eligible recipients.

Referrals are to be made for any Medicaid recipient who is enrolled in or has access to employee-related medical insurance.

The HIPP referral Form is used to transmit information to DMA for potential purchase of an AU member's employee-related medical insurance.

Do not make a HIPP referral if the recipient will not be eligible for Medicaid on an ongoing basis.

Procedures for Reporting TPR and Making HIPP Referrals

IF THEN

An application is filed
AND
the AU has a TPR Enter the TPR data on SUCCESS AND Complete a HIPP Referral Form; Forward the original to DMA OR Complete a Form 138 documenting a waiver of the TPR requirement because of good cause and document why a HIPP referral was not made.

An application is filed
AND
the AU has a TPR available, but is not enrolled. Complete a HIPP Referral Form and, if needed, the DMA Employer Statement of Available Insurance Form and forward to DMA OR Document why a HIPP referral was not made.

See policy manual section 1055 for further information about the HIPP Program.

Procedures for Reporting TPR and Making HIPP Referrals
IF	THEN
An application is filed AND the AU has a TPR	Enter the TPR data on SUCCESS AND Complete a HIPP Referral Form; Forward the original to DMA OR Complete a Form 138 documenting a waiver of the TPR requirement because of good cause and document why a HIPP referral was not made.
An application is filed AND the AU has a TPR available, but is not enrolled.	Complete a HIPP Referral Form and, if needed, the DMA Employer Statement of Available Insurance Form and forward to DMA OR Document why a HIPP referral was not made.