reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1251 - FUNERAL DIRECTORS' SERVICES › PROVIDER PARTICIPATION › Section 1251.41 - Participation requirements

Current through Register Vol. 54, No. 28, July 13, 2024
A funeral director may participate in the MA Program in
					 accordance with §§ 1101.41-1101.43.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1251 - FUNERAL DIRECTORS' SERVICES › PROVIDER PARTICIPATION › Section 1251.42 - Ongoing responsibilities of providers

Current through Register Vol. 54, No. 28, July 13, 2024
In addition to the applicable responsibilities of providers
					 established in §
										1101.51 (relating to ongoing
					 responsibilities of providers), funeral directors shall, as a condition of
					 participation comply fully with Chapter 283 (relating to payment for burial and
					 cremation).
The provisions of this §
												1251.42 amended under sections
						201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
													201(2) and
						403(b)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1251 - FUNERAL DIRECTORS' SERVICES › PAYMENT FOR FUNERAL DIRECTORS' SERVICES › Section 1251.51 - General payment policy

Current through Register Vol. 54, No. 28, July 13, 2024
Payment shall be made for funeral directors' services
					 subject to the conditions and limitations established in Chapter 283 (relating
					 to payment for burial and cremation).
The provisions of this §
												1251.51 amended under sections
						201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
													201(2) and
						403(b)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1251 - FUNERAL DIRECTORS' SERVICES › UTILIZATION CONTROL › Section 1251.71 - Scope of claims review procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Claims submitted for payment under the MA Program are
					 subject to the utilization control procedures established in Chapters 283 and
					 1101 (relating to payment for burial and cremation; and general provisions).
The provisions of this §
												1251.71 amended under sections
						201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
													201(2) and
						403(b)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1251 - FUNERAL DIRECTORS' SERVICES › ADMINISTRATIVE SANCTIONS › Section 1251.81 - Provider misutilization

Current through Register Vol. 54, No. 28, July 13, 2024
Providers determined to have billed for services
					 inconsistent with MA Program regulations or to have otherwise violated the
					 standards set forth in the provider agreement, are subject to the sanctions
					 described in Chapter 1101 (relating to general provisions) and §
										283.31 (relating to funeral
					 director violations).
The provisions of this §
												1251.81 amended under sections
						201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
													201(2) and
						403(b)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL PROVISIONS › Section 2050.1 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter establishes the requirements for determining
						eligibility for services funded through the Adult Services Block
						Grant.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL PROVISIONS › Section 2050.2 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to persons applying for or receiving
						adult services and governs counties and providers receiving Adult Services
						Block Grant funds.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL PROVISIONS › Section 2050.4 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal base for this chapter is:
(1) Articles II and IV of the Public Welfare
					 Code (62 P. S. §§
												201-211
					 and 401-493).
(2) Social Services Block Grant Act of 1981
					 (42 U.S.C.A. §§
												1397-1397f).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.11 - Reimbursement for expenditures

Current through Register Vol. 54, No. 28, July 13, 2024
Expenditures made by a county on behalf of a client will
						be reimbursed by the Department only if eligibility has been determined in
						accordance with this chapter. Eligibility determinations and redeterminations
						are subject to review and audit by Departmental fiscal and program
						staff.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.12 - Nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
Applicants or clients may not be discriminated against on
						the basis of race, color, religious creed, handicap, ancestry, national origin,
						age or sex.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.13 - Designated forms

Current through Register Vol. 54, No. 28, July 13, 2024
Actions taken under this chapter shall be on forms
						designated or approved by the Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.14 - Client files

Current through Register Vol. 54, No. 28, July 13, 2024
For each client except those receiving information and
						referral service only, providers shall establish and maintain a separate client
						file consisting of both of the following:
(1) A description of the client's need for
					 service; the particular service or services provided; and pertinent facts,
					 dates and identifying data.
(2)
					 Documents pertaining to the determination and redetermination of eligibility,
					 including copies of written notice forms and correspondence, and other
					 documents concerning actions, proposed actions or service requests.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.15 - Information and referral logs

Current through Register Vol. 54, No. 28, July 13, 2024
Providers of information and referral service shall keep
						a log, listing the number of information and referral contacts made, the nature
						of each request, the agency to which the person was referred, and whether the
						person was accepted for service by the agency.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.16 - Record retention and disposition

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Providers shall retain all client files;
					 rejected application forms; information and referral logs; and books, records,
					 and other fiscal and administrative documents pertaining to expenditures which
					 are reimbursed through the Adult Services Block Grant for one of the following
					 time periods, whichever occurs last:
(1) For a
					 period of 4 years from the end of the fiscal year in which all adult services
					 activities are terminated.
(2)
					 Until the completion of an audit for compliance with adult services
					 requirements which audit was begun, but not completed, at the end of the 4-year
					 period specified in paragraph (1).
(3) Until audit findings not resolved at the
					 end of the 4-year period specified in paragraph (1) have been
					 resolved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.17 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Counties and
					 their designated providers shall safeguard the use and disclosure of
					 information on applicants and clients.
(b) Providers shall permit access to, and
					 allow the use and disclosure of information on applicants and clients to:
					 Federal authorities, the Commonwealth, the Department, the county commissioners
					 or county executive, or their authorized agents if the information is necessary
					 to carry out their required functions. Disclosure beyond this scope requires
					 the client's informed and written consent.
(c) Providers shall make available to a
					 client or an authorized representative the contents of the client's case
					 records under Chapter 105 (relating to safeguarding information).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › GENERAL REQUIREMENTS › Section 2050.18 - Additional conditions prohibited

Current through Register Vol. 54, No. 28, July 13, 2024
Counties or their providers may not impose additional
						eligibility conditions-including priorities, categories of need, or fees-other
						than those listed in this chapter; nor may they impose, as a condition of
						eligibility, acceptance of a particular service or combination of
						services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.21 - General eligibility criteria

Current through Register Vol. 54, No. 28, July 13, 2024
To receive a particular adult service, a person must
						comply with all of the following:
(1)
					 Meet §
											2050.22 (relating to financial
					 eligibility criteria) except for information and referral service and
					 protective service, which are provided without regard to income.
(2) Be an adult.
(3) Be a resident of the county in which
					 service is requested.
(4) Be
					 requesting a service which is available to residents of the county under the
					 Adult Services Block Grant.
(5) Be
					 determined to be in need of the particular service requested.
(6) For homemaker, home delivered meals, and
					 protective services, meet the categories or conditions of need which are
					 specified as eligibility requirements for those services.
This section cited in 55 Pa. Code §
													2050.23 (relating to county
						  residence); 55 Pa. Code §
													2050.24 (relating to categories of
						  need for homemaker service); and 55 Pa. Code §
													2050.27 (relating to service to
						  residents of institutions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.22 - Financial eligibility criteria

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Information and referral service and
					 protective service shall be provided without regard to income. It is not
					 necessary for recipients of these services to meet financial eligibility
					 criteria. They must, however, meet the other applicable eligibility
					 criteria.
(b) Those financially
					 eligible for adult placement, counseling, employment, housing, life skills
					 education, and service planning/case management services are either of the
					 following:
(1) Cardholders and other persons
					 whose names are listed on a valid medical services eligibility card.
(2) Persons, other than those described in
					 paragraph (1) whose family monthly gross income does not exceed 125% of the
					 Federal Poverty Income Guidelines which have been adopted by the Department and
					 are available upon request.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.23 - County residence

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For
					 purposes of satisfying §
											2050.21(3)
					 (relating to general eligibility criteria), the following persons are
					 considered county residents:
(1) Persons who
					 declare a place of residence located within the county.
(2) Out-of-State or foreign students who
					 reside in the county while attending an educational or job-training institution
					 in this Commonwealth.
(3) Migrant
					 workers who are seasonally employed or are seeking seasonal employment within
					 the county.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.24 - Categories of need for homemaker service

Current through Register Vol. 54, No. 28, July 13, 2024
For homemaker service, certain reasons for needing the
						service, called categories of need, are specified as eligibility requirements.
						To meet the category of need requirement for homemaker service, as set forth in
						§
											2050.21(6)
						(relating to general eligibility criteria), a person must need the service for
						one of the following reasons which are ranked according to priority from
						highest to lowest:
(1)
Emergency basis personal care or home help.
To receive
					 personal care or home help to alleviate an unsafe or unsanitary condition on an
					 emergency basis:
(i) A situation must exist in
					 which failure to provide the activity would result in the immediate danger of
					 death, neglect, or serious injury.
(ii) The person must be functionally unable
					 to perform life essential tasks of daily living or care for the person's
					 dependents.
(iii) The person must
					 live alone or with other functionally disabled or dependent persons or have no
					 family member or other responsible person available and willing to perform life
					 essential tasks for the person or his dependents.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.25 - Conditions of need for home delivered meals service

Current through Register Vol. 54, No. 28, July 13, 2024
Additional reasons for needing home delivered meals
						service, called conditions of need, are specified as eligibility requirements.
						To meet the conditions of need requirement for home delivered meals service, a
						person must need the service for all of the following reasons:
(1) The person is homebound.
(2) The person is permanently or temporarily
					 incapacitated so that the person is unable to prepare meals.
(3) There is no family member or other
					 responsible person available and willing, on an on-going or temporary basis, to
					 prepare meals for the person.
(4)
					 There is no alternative means of providing nutritious meals to the person in
					 the home during the time for which the service is requested.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.26 - Conditions of need for protective service

Current through Register Vol. 54, No. 28, July 13, 2024
Additional reasons for needing protective service, called
						conditions of need, are specified as eligibility requirements. To meet the
						conditions of need requirements for protective service, a person must need the
						service for all of the following reasons:
(1) The person is physically or mentally
					 impaired.
(2) The person is unable
					 to protect himself from hazardous situations or the abusive acts of others or
					 carry out the activities of daily living without assistance.
(3) There is no family member or other
					 responsible person available who is willing and able to assist the
					 person.
This section cited in 55 Pa. Code §
													2050.35 (relating to determination
						  for services provided without regard to
						  income).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.27 - Service to residents of institutions

Current through Register Vol. 54, No. 28, July 13, 2024
A person living in an institution-such as one for the
						mentally ill or mentally retarded, a hospital, a skilled care facility, an
						intermediate care facility, or a prison-may receive an adult service only if:
(1) The person meets §
											2050.21 (relating to general
					 eligibility criteria).
(2) The
					 service to be provided is:
(i) Also available
					 to residents of the surrounding community.
(ii) Not provided by institutional
					 staff.
(iii) Not an activity for
					 which the institution is legally responsible.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY REQUIREMENTS FOR ADULT SERVICES › Section 2050.28 - Grandfathering provision

Current through Register Vol. 54, No. 28, July 13, 2024
A client who is receiving adult services on July 1, 1984,
						remains eligible through the client's next regularly scheduled eligibility
						redetermination. At that time, continued eligibility shall depend upon the
						client's meeting the appropriate eligibility criteria.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.31 - Responsibility and authority for eligibility determinations and redeterminations

Current through Register Vol. 54, No. 28, July 13, 2024
Counties are responsible for determining and
						redetermining the eligibility of applicants. While counties remain responsible,
						they may delegate the authority for determining and redetermining eligibility
						to providers by means of contract, grant, or other written agreement. Counties
						receiving Adult Services Block Grant funds will be held fiscally liable by the
						Department for failure in performing determininations and redeterminations of
						eligibility in accordance with this chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.32 - Right to apply for service

Current through Register Vol. 54, No. 28, July 13, 2024
A person has the right to apply for an adult service. The
						provider shall perform an eligibility determination for each
						applicant.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.33 - Basic requirements

Current through Register Vol. 54, No. 28, July 13, 2024
Counties, or providers designated by the counties, shall
						structure the eligibility determination process to meet the following basic
						requirements:
(1) Eligibility shall be
					 determined for an applicant within 15 days of the service request.
(2) The provider shall complete a
					 Departmentally approved adult services application form from the information
					 given by the applicant.
(3) An
					 adult service may not be provided until:
(i)
					 The adult services application form has been signed and dated by the
					 applicant.
(ii) The applicant has
					 been determined eligible for the adult service requested.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.34 - Validity of eligibility information provided by applicants or clients

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 shall accept the information provided orally by an applicant or client for
					 determination or redetermination of eligibility unless the provider has cause
					 to doubt the validity of the information.
(b) The provider may require an applicant or
					 client to document eligibility information if the provider has cause to doubt
					 the validity of this information.
(c) The provider shall withhold or terminate
					 from service immediately an applicant or client who does one of the following:
(1) Refuses to provide the documentation
					 requested.
(2) Is found to be
					 ineligible on the basis of the documented information.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.35 - Determination for services provided without regard to income

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Information and referral service.
A written application is not
					 required for clients receiving information and referral service.
(b)
Protective service.
Although protective service is provided without regard to income, a
					 Departmentally approved adult services application form is required for
					 protective service clients. The provider shall make appropriate entries upon
					 the form and within the client's records:
(1)
					 To indicate that the financial eligibility requirement does not
					 apply.
(2) To document the client's
					 need for service, including information to show that the client has met the
					 condition of need requirement set forth in §
												2050.26 (relating to conditions of
					 need for protective service).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.36 - Redeterminations of eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
Counties shall establish eligibility redetermination
						control procedures to ensure that the following requirements are met:
(1) Eligibility for clients who are either
					 current recipients of SSI or whose family monthly gross income is derived
					 solely from Social Security or disability benefits, pensions, or benefits paid
					 to survivors shall be redetermined every 12 months.
(2) Eligibility shall be redetermined every 6
					 months for clients who are any of the following:
(i) Medical services eligibility
					 cardholders.
(ii) Family monthly
					 gross income eligibles.
(iii)
					 Protective service recipients without regard to income.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.37 - Waiting lists for adult services not immediately available

Current through Register Vol. 54, No. 28, July 13, 2024
Counties shall establish and enforce a written waiting
						list procedure for applicants who are determined eligible for an adult service
						which is not immediately available. Counties shall ensure that this procedure:
(1) Affords eligible applicants equal
					 access to adult services.
(2)
					 Requires immediate service when a delay in service may be life
					 threatening.
(3) Requires that, for
					 adult day care, chore, home-delivered meals, homemaker, and transporation
					 services, a priority for service be given to applicants:
(i) Whose names are listed on valid medical
					 services eligibility cards.
(ii)
					 Whose family monthly gross incomes do not exceed 125% of the Federal Poverty
					 Income Guidelines.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › ELIGIBILITY DETERMINATION › Section 2050.38 - Reduction or termination of service to clients

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Reductions and terminations based
					 upon the provider's professional judgement.
(1) A provider shall reduce or terminate
					 service to clients when, in the provider's professional judgement, one of the
					 following occurs:
(i) The client no longer
					 needs the service or level of service currently being provided.
(ii) The client's uncooperative behavior or
					 misuse of the service warrants termination.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › REQUIREMENTS FOR NOTIFICATION OF APPLICANTS OR CLIENTS › Section 2050.51 - General requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Providers shall notify each applicant or client of an eligibility determination
					 or redetermination within 10 days of the date the provider makes the
					 decision.
(b) Providers may notify
					 an applicant or client either orally or in writing of an eligibility
					 determination or redetermination which is favorable to the applicant or
					 client.
(c) Providers shall, by
					 means of a Departmentally approved written notice form, notify each applicant
					 or client of a determination or redetermination resulting in a denial,
					 reduction, or termination of service. The notification may be made orally if
					 the requested service is either provided or continued without interruption
					 through another funding source or if the applicant or client agrees with the
					 denial, reduction, or termination.
(d) If a written notice is required,
					 providers shall complete an original and three copies of all applicable
					 portions of the written notice form, including:
(1) A clear statement of the decision and the
					 effective date.
(2) A full
					 statement of the reasons for the decision.
(3) A citation and brief explanation of the
					 regulation used as the basis for the decision.
(4) Pertinent information concerning the
					 applicant's or client's right to appeal and request a Departmental fair
					 hearing.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › REQUIREMENTS FOR NOTIFICATION OF APPLICANTS OR CLIENTS › Section 2050.52 - Appeals and fair hearings for applicants and clients

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Except as provided otherwise in this
					 chapter, Chapter 275 (relating to appeal and fair hearing and administrative
					 disqualification hearings) applies to the provision of adult services; it may
					 not be replaced by an internal hearing procedure established by a county or
					 provider.
(b) To retain the right
					 to appeal and request a Departmental fair hearing, applicants and clients are
					 bound by the following requirements:
(1) If an
					 applicant is found to be ineligible for the particular adult service requested,
					 the applicant retains the right to request a Departmental fair hearing only if
					 the hearing request is postmarked no later than 30 days following the date the
					 written notice is mailed or hand-delivered to the applicant.
(2) The effective date of a reduction or
					 termination from service for a client found to be ineligible for the particular
					 service or level of service will be the 15th day following the date the written
					 notice is mailed or hand delivered to the client.
(3) If a client found to be ineligible elects
					 to appeal a reduction or termination from service:
(i) Service to the client may not be reduced
					 or terminated pending the outcome of the hearing if the hearing request is
					 postmarked no later than the 10th day following the date the notice is mailed
					 or hand delivered to the client.
(ii) Service will be reduced or terminated as
					 scheduled if the hearing request is postmarked after the 10th day and no later
					 than the 30th day following the date the written notice is mailed or hand
					 delivered to the client, but the client retains the right to request a fair
					 hearing.
(4) A client
					 found to be ineligible for the service or level of service requested
					 relinquishes the right to request a fair hearing if the hearing request is
					 postmarked after the 30th day following the date the written notice is mailed
					 or hand delivered to the client.
(5) If the date for action specified in
					 paragraphs (1)-(4) falls on a weekend or State holiday, the action shall be
					 taken on the next working day.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › DECLARED STATE OF DISASTER › Section 2050.61 - Eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
A state of disaster exists as of the date on which the
						Governor declares a specific geographic area to be a disaster area. Those
						eligible for adult services declared by the Secretary to be essential in
						dealing with the disaster are:
(1)
					 Persons who normally reside within the declared disaster area and who are
					 affected by the disaster. These persons are eligible to receive service for a
					 period which may not exceed 2 months from the date the disaster was
					 declared.
(2) Other persons
					 physically in a disaster area at the time of the disaster and who are affected
					 by the disaster. These persons are eligible to receive service only for so long
					 as is necessary to relocate them to their normal place of residence and in no
					 case for longer than 30 days from the date that the disaster was
					 declared.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › FAMILY MONTHLY GROSS INCOME › Section 2050.71 - Sources

Current through Register Vol. 54, No. 28, July 13, 2024
Sources of family monthly gross income include but are
						not limited to:
(1) Money, wages or
					 salary earned by individuals 16 years of age or older before deductions for
					 taxes, Social Security, bonds, pensions, union dues, health insurance, and
					 similar purposes for work performed as an employe including commissions, tips,
					 piece-rate payments, and cash bonuses.
(2) Armed Forces pay which includes base pay
					 plus cash housing and subsistence allowances but does not include the value of
					 rent-free quarters.
(3) Voluntary
					 or court-ordered support received by a present or former spouse.
(4) Net income from self-employment, farm or
					 nonfarm.
(5) Voluntary or
					 court-ordered child support.
(6)
					 Net income from the rental of real property.
(7) Social Security pensions, survivors'
					 benefits, permanent disability insurance payments, and special benefit payments
					 made by the Social Security Administration before deductions of health
					 insurance premiums.
(8) Railroad
					 retirement, disability, and survivors' benefits payments made by the United
					 States Government under the Railroad Retirement Act of 1974 (45 U.S.C.A. §§
												231-231v) before deductions of health
					 insurance premiums.
(9) Private
					 pensions and annuities, including retirement benefits paid to a retired person
					 or his survivors by a former employer or by a union, either directly or through
					 an insurance company.
(10)
					 Government employe pension payments received from retirement pensions paid by
					 Federal, State, county or other governmental agencies to former employes
					 including members of the Armed Forces or their survivors.
(11) Unemployment compensation received from
					 governmental unemployment insurance agencies or private companies during
					 periods of unemployment and strike benefits received from union
					 funds.
(12) Workers's compensation
					 received from private or public insurance companies for injuries incurred at
					 work. The cost of this insurance must have been paid by the employer and not by
					 the worker.
(13) Payments made by
					 the Veterans Administration to veterans or their families.
(14) Dividends, including dividends from
					 stockholdings or membership in associations.
(15) Interest on savings or checking accounts
					 and bonds.
(16) Income from estates
					 and trust funds.
(17) Net income
					 from royalties.
(18) Net income
					 from room and board payments.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › FAMILY MONTHLY GROSS INCOME › Section 2050.72 - Income exclusions

Current through Register Vol. 54, No. 28, July 13, 2024
Sources of income not counted in determining family
						monthly gross income are:
(1) Earnings
					 of a child under 16 years of age.
(2) Voluntary or court-ordered support paid
					 out by the applicant or client, or by a family member to a present or former
					 spouse not residing in the same household.
(3) Voluntary or court-ordered child support
					 paid out by the applicant or client, or by a family member for a child who is
					 not residing in the same household.
(4) Proceeds from the sale of property, such
					 as a house or a car, unless the person was engaged in the business of selling
					 the property, in which case the net proceeds would be counted as income from
					 self-employment.
(5) Withdrawals of
					 bank deposits.
(6) Borrowed
					 money.
(7) Tax refunds or rent
					 rebates from any source.
(8)
					 Gifts.
(9) The value of the coupon
					 allotment under the Food Stamp Act of 1977 (7 U.S.C.A. §§
												2011 -
					 2026) in excess of the amount paid
					 for the coupons.
(10) The value of
					 donated foods.
(11) The value of
					 supplemental food assistance under the Child Nutrition Act of 1966
					 (42 U.S.C.A. §§
												1771 -
					 1785) and the special food service
					 programs for children under the National School Lunch Act (41 U.S.C.A. Chapter
					 13).
(12) Loans and grants, such as
					 scholarships, obtained and used under conditions that preclude their use for
					 current living costs.
(13) Grants
					 or loans to an undergraduate student for educational purposes.
(14) Payment received under the Uniform
					 Relocation Assistance and Real Property Acquisition Policies Act of 1970
					 (42 U.S.C.A. §§
												1415,
					 2473,
					 3307,
					 4601,
					 4602,
					 4621 -
					 4638, and
					 4651 -
					 4655;
					 49 U.S.C. A. §
												1605).
(15) Home produce used for household
					 consumption.
(16) The value of
					 rent-free quarters.
(17) Foster
					 care payments by a State agency.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2050 - ELIGIBILITY FOR SERVICES FUNDED THROUGH THE ADULT SERVICES BLOCK GRANT › FAMILY MONTHLY GROSS INCOME › Section 2050.73 - Medical expense exclusion

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An additional medical expense exclusion
					 will be made for families whose monthly medical expenses which are not
					 reimbursable through medical insurance are expected to total more than 10% of
					 the family monthly gross income.
(b) That portion of the family's anticipated
					 monthly medical expenses for doctors, hospital care, dental services, health
					 care premiums, and prescription drugs which exceeds 10% of the family monthly
					 gross income after all other sources of income are appropriately included or
					 excluded will be deducted as an additional exclusion.
(c) Anticipated monthly medical expenses
					 shall be based upon previous or present medical obligations or costs which are
					 expected to continue during the 6-month period following eligibility
					 determination or redetermination.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.1 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to adult social services funded
					 through the Refugee State Plan and the Cuban/Haitian State Plan for State
					 Fiscal Year 1982-83.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.2 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal base for this chapter is:
(1) Articles II and IV of the Public Welfare
				  Code (62 P. S. Articles II and IV).
(2) Section 311(a)(2) of the act of March 17,
				  1980, 94 Stat. 111 (8 U.S.C.
				  §§
											1521 -
				  1525).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.3 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
					 have the following meanings, unless the context clearly indicates
					 otherwise:
Common law relationship
-The relationship
					 between a man and a woman who are legally free to marry, who agree to live
					 together as husband and wife without benefit of a license, and who both
					 publicly and privately consider themselves married.
Cuban/Haitian Entrant-
Status
					 Pending
-A Cuban/Haitian Entrant-status. A person who possesses an INS
					 Form I-94 with one of the following:
(i) Stamped "Cuban/Haitian Entrant (status
				  pending)."
(ii) Stating that the
				  person is a citizen of Cuba and containing the initials "OOE" (note that the
				  phrase "Outstanding Order of Exclusion" is not equivalent to "OOE").
(iii) Stating that the person is a citizen of
				  Haiti who has been either "paroled" or granted "voluntary departure."
Emancipated minor
-A person under 21 years
					 of age, irrespective of whether the person is receiving services designed for
					 adults or children, who meet one of the following subparagraphs:
(i) Is married, whether the person lives
				  within or away from his parent's household.
(ii) Has left the parental household or has
				  established himself as a separate entity within the parental household:
(A) Is acting for himself independent of
				  control by his parents or persons acting in loco parentis.
(B) Is financially independent of his
				  parents, although he may be receiving financial assistance or benefits to which
				  he is entitled in his own right.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.4 - Nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
Refugees applying for or receiving services may not be
					 discriminated against because of race, color, religious creed, sexual or
					 affectional orientation, ancestry, national origin, age, sex, handicap or
					 disability.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.5 - Grandfathering provision

Current through Register Vol. 54, No. 28, July 13, 2024
A refugee who was eligible for and receiving refugee social
					 services on or before September 30, 1982, remains eligible until the next
					 regularly scheduled eligibility redetermination. At that time, continued
					 eligibility depends upon the refugee meeting the eligibility requirements in
					 this chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.6 - Eligibility-general

Current through Register Vol. 54, No. 28, July 13, 2024
(a) To be eligible,
				  a refugee shall be all of the following:
(1)
				  Sixteen years of age or older except for translation/interpretation
				  service.
(2) Not attending an
				  elementary or secondary school except for translation/interpretation
				  service.
(3) Been in the United
				  States for 36 months or less as determined by the date of entry on the Form
				  I-94 or Form I-151/551 and previous I-94 equivalent.
(4) Meet the financial eligibility
				  requirements in §
											2060.7 (relating to
				  eligibility-financial).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.7 - Eligibility-financial

Current through Register Vol. 54, No. 28, July 13, 2024
Refugees financially eligible are one of the
					 following:
(1) Current recipients of
				  Aid to Families with Dependent Children (AFDC).
(2) Current recipients of refugee cash or
				  medical assistance.
(3) Current
				  recipients of Supplemental Security Income (SSI).
(4) Current recipients of State Funded
				  General Assistance (GA).
(5)
				  Current recipients of Medical Assistance (MA).
(6) Those whose family monthly gross income
				  does not exceed 50% of the Bureau of Labor Statistics Intermediate Standard,
				  adjusted according to family size.
This section cited in 55 Pa. Code §
												2060.6 (relating to
						eligibility-general); and 55 Pa. Code §
												2060.9 (relating to waiver of
						financial eligibility).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.8 - Income levels

Current through Register Vol. 54, No. 28, July 13, 2024
Income levels for 1982-83 are as follows:
Number of persons in family
Monthly income level (50%)
1
$ 502
2
656
3
810
4
964
5
1,119
6
1,273
7
1,302
8
1,331
9
1,360
10
1,388
For each extra person add:
$ 29
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.9 - Waiver of financial eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
The financial eligibility requirements found at §
										2060.7 (relating to
					 eligibility-financial) will be waived for refugees only for
					 English-as-a-Second-Language if all of the following requirements are
					 met:
(1) The refugee is
				  employed.
(2) The refugee certifies
				  that he will not be able to retain his job unless he receives English language
				  training.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.10 - Determining and redetermining general eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
If an individual requests any service, the service provider
					 agency shall determine and redetermine eligibility in compliance with the
					 procedures set forth in Chapter 2050 (relating to eligibility for social
					 services funded through the Adult Services Block Grant). The eligibility form
					 provided by the Department must be completed to establish client
					 eligibility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.11 - Request for service from more than one household member

Current through Register Vol. 54, No. 28, July 13, 2024
One eligibility form may be used for all eligible refugees
					 living in the same household if financial eligibility for each refugee is
					 established by MAID card. If financial eligibility is established by
					 determining the total family monthly gross income, a single form may be used
					 only for those refugees included in the family when total family monthly gross
					 income is determined.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.12 - Notification requirements

Current through Register Vol. 54, No. 28, July 13, 2024
Each service provider agency shall notify each refugee of
					 the decision on eligibility, on the service request, and on proposed action, in
					 compliance with Chapter 2050 (relating to eligibility for social services
					 funded through the Adult Services Block Grant). Service providers shall use the
					 written notice form approved by the Department when written notices are
					 required.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart B - Eligibility for Services › Chapter 2060 - ELIGIBILITY FOR REFUGEE AND CUBAN/HAITIAN SOCIAL SERVICES › Section 2060.13 - Requirements for provision of service at an appropriate later date

Current through Register Vol. 54, No. 28, July 13, 2024
Service provider agencies shall establish waiting lists
					 when any requested refugee service is not immediately available in compliance
					 with Chapter 2050 (relating to eligibility for social services funded through
					 the Adult Services Block Grant).