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PA Bulletin, Doc. No. 06-579

NOTICES

DEPARTMENT OF HEALTH

Chronic Renal Disease Program Income Criteria

[36 Pa.B. 1704]

   The Department of Health (Department) hereby provides notice of intent to implement the following income criteria for the Chronic Renal Disease Program, effective February 1, 2006.

Income

   New applicants must have an annual income of 0% to 300% of the Federal Poverty Income Guidelines (FPIG) as published by the United States Department of Health and Human Services (HHS) in the Federal Register and any revisions thereto (to the extent services are not covered by Medical Assistance). Current enrollees must meet the same eligibility criteria at the time of renewal as new applicants. A sliding fee scale will be applied to applicants with an annual income of 185% to 300% of the FPIG as published by the HHS in the Federal Register and any revisions thereto. Applicants must submit their most recent Federal 1040 tax return to verify annual income. If no Federal 1040 tax return was filed, other supporting documentation of annual income is required.

   Questions regarding this notice should be directed to Carolyn S. Cass, Director, Division of Child and Adult Health Services, Department of Health, Health and Welfare Building, Seventh Floor, East Wing, Seventh and Forster Streets, Harrisburg, PA 17120. Persons with a disability may submit questions to Carolyn S. Cass in alternative formats, such as audiotape, Braille, TDD (717) 783-6514 or TT (800) 654-5984. Persons with a disability who require an alternative format of this document (for example, large print, audio tape or Braille) should contact Carolyn S. Cass to make the necessary arrangements.

CALVIN B. JOHNSON, M. D., M.P.H.,   
Secretary

[Pa.B. Doc. No. 06-579. Filed for public inspection April 7, 2006, 9:00 a.m.]


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