Indiana Code Title 16. Health § 16-41-19.5-3

(1) The individual has submitted a properly completed application on a form supplied by the state department.

(2) The individual has a household income that is not more than two hundred fifty percent (250%) of the federal poverty level as determined by the federal Office of Management and Budget.

(3) The individual is a resident of Indiana and has resided in Indiana for twelve (12) months before submitting the application.  An individual is not excluded from the program for receiving an organ transplant outside Indiana.

(4) The individual meets any other eligibility standards adopted by the state department.