Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 123 - DEFINITIONS › MA INTAKE AND REDETERMINATION DEFINITIONS FOR THE MEDICALLY NEEDY › Section 123.82 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this section,
						have the following meanings, unless the context clearly indicates
						otherwise:
Applicant
-An adult or emancipated minor
						who indicates to the county office, either in person, or through someone acting
						in his behalf, that he wants his eligibility for MA determined. The adult with
						whom an unemancipated minor lives, or the guardian or trustee of that adult,
						will be the applicant in the behalf of the child. For a child in foster care,
						the child welfare agency supervising the care will be the applicant. For a
						child who is a resident in an institution, an official of the institution will
						be the applicant.
Applicant group
-A person living alone or
						the following persons living together: spouses, parents and their unemancipated
						minor children and any other unemancipated minor children who are related by
						blood or marriage, or any other adults or emancipated minor children living in
						the household who consider themselves to be dependent upon the head of the
						household and who do not wish to apply on their own behalf. If a person who
						would have been included with other persons as a member of an applicant group
						dies within 90 days of the date of application, he will be considered to be a
						member of the applicant group insofar as being eligible for the services he
						received within the 90 days before the date of application.
Application
-Application shall include
						the following:
(i) An action by which
					 a person requests that the county office determine his eligibility for medical
					 assistance.
(ii) A separate
					 application for MA will not be required when a person has been found to be
					 needy that is, a money payment or nonmoney payment recipient.
(iii) An application may be made for any kind
					 of medical care provided by the program. It will not be necessary to apply for
					 any one kind of care or for different kinds of care in a sequence.
(iv) The date of a request for MA, as
					 distinguished from an inquiry, is the date the eligibility form, Form PA 743,
					 is completed and signed. The applicant must be living at the time this request
					 is made.
(v) A reapplication will
					 be considered an application.
(vi)
					 A request for MA by an adult or emancipated minor, or on behalf of an
					 unemancipated minor, will be considered an application even though the person
					 is added to an existing applicant group.
(vii) When a categorically needy recipient,
					 whether money payment or nonmoney payment, is no longer eligible as a
					 categorically needy person because he has sufficient resources to meet his
					 basic needs, but he is eligible as a medically needy only person, it will not
					 be necessary to complete a Form PA 743.
(viii) If a person who has been found
					 ineligible for MA should request a County or State appeal hearing, the request
					 will be considered an application.
(ix) An application will continue in effect
					 until disposed of.
Inquiry
-An inquiry differs from a
						request in that the person making the inquiry is seeking information only and
						not MA. When a person asks for information intended for the use of someone
						other than himself, the Department will consider the request as an inquiry
						unless or until it knows that the person is, in actuality, requesting MA on
						behalf of another person and is doing so with the knowledge and consent of the
						latter.
This section cited in 55 Pa. Code §
													123.72 (relating to definitions);
						  and 55 Pa. Code §
													125.84 (relating to
						  procedures).