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 § 140.1. Policy on Healthy Beginnings.

GENERAL PROVISIONS


§ 140.1. Policy on Healthy Beginnings.

 (a)  The Department provides MA under the Categorically Needy Healthy Beginnings Program to pregnant women and qualified children who are otherwise eligible with family income that does not exceed the percentage of the Federal Poverty Income Guidelines (FPIGs) for mandatory coverage set forth in section 1902 of the Social Security Act (42 U.S.C.A. §  1396a). Future Federally mandated changes to the income or age standards will be published as a notice in the Pennsylvania Bulletin and will be made available upon request at the CAOs.

 (b)  The Department also provides MA under the Categorically Needy Healthy Beginnings Program to pregnant women and infants up to age 1 who are otherwise eligible with family income up to 185% of the FPIGs, as allowed under the optional provisions set forth in section 1902 of the Social Security Act.

 (c)  MA will be provided under the Program which is most advantageous for the client based on individual circumstances. Eligibility for MA benefits under both the NMP-MA and MNO-MA Programs will also be explored.

Authority

   The provisions of this §  140.1 amended under sections 201(2) and 403(b) of the Public Welfare Code (62 P. S. § §  201(2) and 403(b)).

Source

   The provisions of this §  140.1 adopted September 2, 1988, effective October 1, 1988, 18 Pa.B. 4004; amended September 18, 1992, effective upon publication for the OBRA 1989 requirement retroactive to April 1, 1990, and effective July 1, 1991, for the OBRA 1990 requirements, 22 Pa.B. 4694; amended April 2, 1993, effective upon publication and applies retroactively to January 1, 1993. Immediately preceding text appears at serial page (175162).

Cross References

   This section cited in 55 Pa. Code §  140.31 (relating to income eligibility limitations).



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