Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 6234 (September 28, 2024).

55 Pa. Code § 133.83. Requirements.

REDETERMINING ELIGIBILITY PROVISIONS FOR MA
FOR THE MEDICALLY NEEDY


§ 133.83. Requirements.

 (a)  Factors for redetermination. Redetermination of resources which may be available to the client will be required in order to establish continuing eligibility.

   (1)  Earned and nonearned income will be redetermined at the earliest of the following times:

     (i)   Reapplication.

     (ii)   Semiannual redetermination.

     (iii)   When the family unit or person acting on behalf of an individual requests a review.

     (iv)   When other circumstances suggest that a review would be appropriate.

   (2)  Income expense deductions.

   (3)  Property, including the following:

     (i)   Real property.

     (ii)   Life insurance.

     (iii)   Tools, equipment and stock.

     (iv)   Liquid personal property.

   (4)  Support from LRRs.

 (b)  Redetermination of available income. If the redetermination is made before 6 months have passed since the last application or reapplication or last redetermination, the county office will make a finding as to how much the client has paid or has obligated himself to pay, during this period for medical services out of the amount previously considered available. This amount will be deducted from the new income computation, and only the excess will be considered available in determining the amount to meet the cost of MA care, in accordance with §  177.83(c)(8) (reserved).

Source

   The provisions of this §  133.83 adopted August 4, 1977, effective August 5, 1977, 7 Pa.B. 2180; amended July 21, 1978, effective July 22, 1978, 8 Pa.B. 2060. Immediately preceding text appears at serial pages (29036) to (29037).



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