55 Pa. Code § 140.21. Conditions of eligibility.

GENERAL ELIGIBILITY REQUIREMENTS

§ 140.21. Conditions of eligibility.

Eligibility for MA is based on the following:
   (1)  An individual shall meet one of the following criterion:
     (i)   Be pregnant.
     (ii)   Be a qualified child.
   (2)  An individual shall also meet the appropriate eligibility conditions in this title. The specific eligibility conditions which shall be met are the following:
     (i)   Chapter 148 (relating to MA residence provisions for categorically needy NMP-MA and MNO-MA).
     (ii)   Chapter 149 (relating to citizenship and alienage).
     (iii)   Chapter 155 (relating to enumeration).
     (iv)   Signing forms—An applicant/recipient is required to complete and sign the application/reapplication forms designated by the Department.
     (v)   Chapter 255 (relating to restitution).
     (vi)   Chapter 257 (relating to reimbursement).
     (vii)   Responsibility for reporting changes—An applicant/recipient is responsible for reporting accurately, within 1 week, a change in circumstances affecting eligibility.
     (viii)   Third party liability—An applicant/recipient shall cooperate in identifying and providing information to assist the Department in pursuing a third party who may be liable to pay for medical care and services.

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