(1) Applicants determined by the department to be eligible for the HMK Plus coverage group are eligible to receive the HMK Plus coverage group benefits but not eligible to receive the HMK coverage group benefits.

(2) Applicants who are patients in an institution for mental diseases on the date of initial application or any redetermination of eligibility are not eligible for the HMK coverage group (42 CFR 457.310).

(3) Applicants who are incarcerated cannot be enrolled in the HMK coverage group.

(4) Applicants who are not eligible for HMK coverage group benefits because their family income exceeds the HMK coverage group income guideline for the family size will be referred to other health care programs for children, as appropriate.