reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 125 - APPLICATION PROCESS › MA PROVISIONS FOR THE APPLICATION PROCESS FOR THE CATEGORICALLY NEEDY › Section 125.74 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Responsibility for reporting changes.
With the exceptions of
					 the conditions stated in paragraphs (1) and (2), general intake procedures
					 relate to categorically needy, NMP clients. An applicant and recipient must
					 report all of his resources and, to the best of his knowledge, the resources of
					 the following persons:
(1) Those living with
					 him, that is, his spouse as defined in §
												183.64 (relating to income
					 averaging) and children under 21 years of age.
(2) Those not living with him, that is, his
					 spouse.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 125 - APPLICATION PROCESS › MA PROVISIONS FOR THE APPLICATION PROCESS FOR THE MEDICALLY NEEDY › Section 125.84 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Origin
					 of an application.
The following shall apply to the initiation of an
					 application:
(1) The application process will
					 begin when a person indicates to the County Office by any action that he wants
					 his MA eligibility determined.
(2)
					 An application may be made prior to the need for service or at the time the
					 need for service arises.
(3) An
					 application will not be accepted on behalf of a person who has died, in
					 accordance with §
												123.82 (relating to
					 definitions).
(4) An application
					 for MA may be made in person, by letter or by telephone.
(5) If because of illness, infirmity or a
					 physical or mental handicap a person is unable to apply for himself, a
					 relative, a friend or official of the institution or agency providing the
					 service may apply on behalf of the applicant.
(6) If the applicant has a guardian or other
					 legal representative, that person shall be expected to apply on behalf of the
					 applicant if he is available to do so.
(7) Regardless of the way an application for
					 MA is made, the county office will follow it up promptly with appropriate
					 action to decide whether or not the applicant is eligible.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › GENERAL PROVISIONS › Section 133.1 - Policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a recipient
					 no longer meets eligibility conditions for whatever reason, he will cease to be
					 eligible for assistance and assistance will be discontinued.
(b) A reapplication is timely as long as it
					 is completed within the calendar month in which it is due.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › GENERAL PROVISIONS › Section 133.4 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Notice.
A notice to recipients is required whenever an action
					 is taken or the CAO has decided that an action should be taken. The single
					 exception to individual notification is mass grant increases in which
					 recipients are notified by inserts with their assistance checks.
(b)
Advance notice
. Use of
					 Advance Notice shall conform with the following:
(1)
General.
In situations
					 other than when the confirming notice is used the client shall be provided with
					 an Advance Notice whenever the CAO proposes to do one of the following:
(i) Decrease, suspend or discontinue a
					 monthly assistance payment.
(ii)
					 Reduce or terminate MA payments.
(iii) Reduce or terminate a
					 service.
(iv) Change the category
					 of assistance from TANF to GA; from PA, PC or PJ to PD; from TA, TC or TJ to
					 TD.
(v) Establish a protective or
					 vendor payment under §§
													291.23 and
					 291.24 (relating to requirements;
					 and procedures).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › REDETERMINING ELIGIBILITY PROVISIONS FOR TANF/GA › Section 133.24 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Redetermination procedures.
Redetermination procedures are as
					 follows:
(1) Eligibility will be redetermined
					 when the worker receives notice from the Central Control or receives reports of
					 change from the client or other source.
(2) Eligibility for financial assistance will
					 be redetermined in accordance with the regulations governing the type of
					 assistance granted, and the principles set forth in §
												125.21 (relating to
					 policy).
(3) Forms may be used as
					 guides in redetermining eligibility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › REDETERMINING ELIGIBILITY PROVISIONS FOR MA FOR THE CATEGORICALLY NEEDY › Section 133.73 - Requirements

Current through Register Vol. 54, No. 28, July 13, 2024
The requirements of §
											133.23 (relating to requirements)
						apply to categorically needy recipients and should be checked for complete
						details. However, the following brief points should be noted:
(1)
Complete
					 redetermination.
A complete redetermination will be required according
					 to the intervals established in § 133.23. A complete redetermination for
					 NMP clients will be carried out every 6 months. A Form PA 743-R and Form PA
					 743-TPR or Form PA 743-TPR-T will be completed at each redetermination only if
					 medical indicator 2, 3, or 7 has been entered in item 35 of the Form PA
					 743.
(2)
Partial
					 redetermination.
A redetermination of specific eligibility factors
					 will be required according to each case, but must be done at intervals of not
					 less than 3 months for cases in which there is an employable person, according
					 to the provisions set forth in §
											133.23 and §
											165.24 (relating to procedures;
					 and reserved).
This section cited in 55 Pa. Code §
													140.311 (relating to verification
						  requirements).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › REDETERMINING ELIGIBILITY PROVISIONS FOR MA FOR THE CATEGORICALLY NEEDY › Section 133.74 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of §§
											133.4 and
						133.24 (relating to procedures)
						will apply and should be referred to for guidance.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart B - Intake and Redetermination › Chapter 133 - REDETERMINING ELIGIBILITY › REDETERMINING ELIGIBILITY PROVISIONS FOR MA FOR THE MEDICALLY NEEDY › Section 133.83 - Requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(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.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › GENERAL PROVISIONS › Section 140.1 - Policy on Healthy Beginnings

Current through Register Vol. 54, No. 28, July 13, 2024
(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.
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)).
This section cited in 55 Pa. Code §
														140.31 (relating to income
							 eligibility limitations).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › GENERAL PROVISIONS › Section 140.2 - 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:
Applicant
-A pregnant woman or
						  qualified child, or an individual applying on their behalf.
Budget group
-A pregnant woman or
						  qualified child.
Earned income
-Money or other
						  compensation received in return for services rendered.
Emancipated
-An individual, under the
						  age of 19, whether residing in or out of the parental household, who is no
						  longer under the care and control of the parent.
Family
-Parents, spouses and their
						  children under the age of 21, when living together.
Immediate family
-The child, the
						  biological or adoptive parent of a child under 21 years of age, the spouse of
						  the parent, and the brother, sister, step-brother, step-sister, half-brother or
						  half-sister who are under 21 years of age. The immediate family members must be
						  living together.
LRR
-Legally Responsible Relative-The
						  spouse of a pregnant woman, or the biological or adoptive parent of an
						  unemancipated child under the age of 19.
Nonrecurring income
-Income that is
						  received in a single payment and not expected to continue.
Qualified child
-A child who meets the
						  age standards in section 1902 of the Social Security Act (42 U.S.C.A. §
													1396a).
Qualified provider
-An MA provider
						  designated by the Department for the purpose of determining presumptive
						  eligibility.
Restricted income
-Income limited by
						  the payer for the use of a specified person.
Unearned income
-Money or other
						  compensation received for which a service is not rendered.
The provisions of this §
														140.2 amended under sections
							 201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
															201(2) and
							 403(b)).
This section cited in 55 Pa. Code §
														140.100 (relating to resources of
							 children under 21 years of age and families with children under 21 years of
							 age).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › GENERAL ELIGIBILITY REQUIREMENTS › Section 140.21 - Conditions of eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
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.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME REQUIREMENTS › Section 140.31 - Income eligibility limitations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Net family income after applicable
						deductions and disregards cannot exceed the following:
(1) The percentage of the Federal Poverty
						Income Guidelines (FPIGs) for the appropriate family size for mandatory
						coverage set forth in section 1902 of the Social Security Act (42 U.S.C.A. §
														1396a).
(2) The percentage of the FPIGs for the
						appropriate family size for the optional coverage established in §
													140.1(b)
						(relating to policy on healthy beginnings) for pregnant women and infants under
						1 year of age.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME REQUIREMENTS › Section 140.32 - Applicable income

Current through Register Vol. 54, No. 28, July 13, 2024
Earned and unearned income of family members, except
						  when designated in this subchapter as being income that is not counted or
						  restricted, is considered when determining eligibility of the budget group.
(1) If the applicant is pregnant and
						residing in the parental household, parental income is not considered when
						determining the eligibility of the applicant under one of the following
						circumstances:
(i) If the applicant is age 18
						or older and does not meet the requirements of an AFDC child in §
													145.43 (relating to
						requirements).
(ii) If the
						applicant is married.
(iii) If the
						applicant is an emancipated child under the age of 19.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › TYPES OF INCOME NOT COUNTED › Section 140.41 - Educational loans, grants and work-study income

Current through Register Vol. 54, No. 28, July 13, 2024
The following do not count as income:
(1) Educational assistance in the form of
						loans, grants and scholarships.
(2)
						Work-study income.
The provisions of this §
														140.41 amended under sections
							 201(2) and 403(b) of the Public Welfare Code (62 P. S. §§
															201(2) and
							 403(b)); Titles I and III of
							 the Personal Responsibility and Work Opportunity Reconciliation Act of 1996
							 (Pub. L. No.
							 104-193) (PRWORA), creating the Temporary
							 Assistance for Needy Families (TANF) Program, and amending
							 42 U.S.C.A. §§
															601-619,
							 651-669(b) and
							 1396u-1;
							 1902(a)(10)(A) of
							 the Social Security Act (42
							 U.S.C.A. §
															1396a(a)(10)(A)); and the
							 Federal TANF regulations in 45 CFR 260.10-265.10.
This section cited in 55 Pa. Code §
														140.64 (relating to income of a
							 child).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › TYPES OF INCOME NOT COUNTED › Section 140.42 - Other types of income not counted

Current through Register Vol. 54, No. 28, July 13, 2024
The following types of income are not counted:
(1)
Funds subject to
						reimbursement
. Funds for which a Department reimbursement agreement
						has been executed.
(2)
MA
						copayment rebates
. A refund to the applicant/ recipient or family
						member authorized as a rebate for payment made in excess of the amount required
						as copayment for MA services.
(3)
Retroactive cash assistance payments
. Retroactive cash
						assistance payments authorized to correct underpayments to previous recipients
						of cash assistance.
(4)
Corrective cash assistance payment
. A corrective, cash
						assistance payment when authorized retroactively as a result of a prehearing
						conference, a fair hearing decision or a court order.
(5)
Refund of assigned support
						payment
. An assigned court order or voluntary support payment refunded
						to the applicant/recipient or family member due to a month of suspension of the
						monthly cash assistance payment.
(6)
Donations from public or private
						agencies
. Money, goods or services an applicant/recipient receives
						from a public or private agency or organization.
(7)
Donations from
						individuals
. In-kind goods or services provided by a person to an
						applicant/recipient or family member or third-party payments made to a vendor
						on behalf of an applicant/recipient or family member.
(8)
Gifts, loans or borrowed
						money
. Gifts, loans or borrowed money, regardless of the amount, are
						treated as a resource and have no effect on eligibility.
(9)
Home produce
. The value
						of home produce of the applicant/recipient or family member which is used by
						the applicant/recipient and the household of the applicant/recipient for the
						personal consumption of the applicant/recipient household and not for sale.
(10)
Day care
.
						Money received from providing day care for children in an approved family day
						care home.
(11)
Earned
						Income Tax Credit (EITC)
. The advance monthly payment or year-end
						payment which an applicant/recipient receives.
This section cited in 55 Pa. Code §
														140.63 (relating to
							 contributions); and 55 Pa. Code §
														140.64 (relating to income of a
							 child).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › EARNED INCOME COUNTED › Section 140.51 - Gross earned income

Current through Register Vol. 54, No. 28, July 13, 2024
Gross earned income, including, but not limited to,
						  wages, tips, salaries, commissions and bonuses from employment is counted as
						  earned income.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › EARNED INCOME COUNTED › Section 140.52 - Profit from self-employment

Current through Register Vol. 54, No. 28, July 13, 2024
Profit from self-employment is counted as earned
						  income. Self-employment includes, but is not limited to, operating a business
						  or farm, practicing a profession, renting nonresident real property, renting
						  rooms or apartments contained in the resident property and providing board.
						  Profit from self-employment is determined using one of the following methods:
(1) From self-employment gross
						receipts, the verified costs to the applicant/recipient or family member of
						producing or continuing the income are deducted. Depreciation, personal
						business and entertainment expenses, personal transportation, purchase of
						capital equipment, and payments on the principal of loans for capital assets or
						durable goods, are not included in the deductions.
(2) From renting rooms or apartments
						contained in the resident property and providing board to individuals and
						providing room and board to tenants, the following amounts are deducted from
						the gross receipts:
(i) From total room and
						apartment rent, $10 plus an amount equal to 50% of the remainder.
(ii) From board payments, the maximum food
						stamp coupon allotment for the household size based on the total number of
						boarders.
(iii) From room and board
						payments, 40% of the total gross payment added to the maximum food stamp coupon
						allotment for the household size equal to the total number of roomers and
						boarders.
(iv) Where there are
						roomers, boarders, and room and boarders, the following amounts are deducted
						from the gross receipts and the results are added to determine the profit as
						follows:
(A) From total room or apartment
						rent, $10 plus an amount equal to 50% of the remainder.
(B) From room and board payments, 40% of the
						total room and board payments.
(C)
						From board payments and the balance of the room and board payments after the
						deduction in clause (B), the maximum food stamp coupon allotment for the
						household size equal to the total number of boarders and room and
						boarders.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › EARNED INCOME COUNTED › Section 140.53 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › EARNED INCOME COUNTED › Section 140.54 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.61 - Benefits, dividends and interest

Current through Register Vol. 54, No. 28, July 13, 2024
Annuities, pensions and other periodic payments which
						  include, but are not limited to, private pensions, social security benefits
						  including Part B Medicare premiums, disability benefits, veterans benefits,
						  workmen's compensation, railroad retirement, unemployment insurance benefits,
						  dividends, interest and royalties are counted as unearned
						  income.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.62 - Support

Current through Register Vol. 54, No. 28, July 13, 2024
Child support, spousal support and alimony are counted
						  as unearned income, regardless of whether the payment or support is voluntary
						  or court ordered. The first $50 per month of court-ordered and voluntary
						  support received, excluding arrearages, is disregarded.
This section cited in 55 Pa. Code §
														140.63 (relating to
							 contributions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.63 - Contributions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Cash
						contributions by an LRR, including the putative father of a qualified child,
						are considered support as defined in §
												140.62 (relating to support). The
						mother or the putative father shall acknowledge in writing that the payment
						from the putative father is child support.
(b) Cash contributions by an individual other
						than an LRR are counted as unearned income unless exempt under §
												140.42(8)
						(relating to other types of income not counted).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.64 - Income of a child

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Income paid
						on behalf of a child included in the applicant/recipient group is counted in
						determining income eligibility. If the income covers more than one child, each
						child covered is considered to have an equal share unless the payer or the
						court order specifies otherwise.
(b) Income of a child who is an
						applicant/recipient or a family member is not counted in determining income
						eligibility if it is:
(1) Income which is
						exempt under §§
													140.41,
						140.42(1)-(10)
						and 140.43 (relating to educational
						loans, grants and work-study income; other types of income not counted; and
						income and benefits not counted under Federal and State statutes).
(2) RSDI benefits paid under Title II of the
						Social Security Act (42
						U.S.C.A. §§
														401-433) to
						a representative payee who does not live in the same household as the child and
						which the representative payee does not actually make available for the support
						of the child.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.65 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › UNEARNED INCOME COUNTED › Section 140.66 - Rental property income

Current through Register Vol. 54, No. 28, July 13, 2024
Income from a rental property owned by an
						  applicant/recipient or family member but handled by a rental agency is counted
						  as unearned income if the applicant/recipient or family member has no specific
						  responsibility for the management of the property.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › RESTRICTED INCOME NOT COUNTED › Section 140.71 - Nonservice connected veterans benefits

Current through Register Vol. 54, No. 28, July 13, 2024
The amount of increased nonservice connected veterans
						  benefits which the applicant/recipient or family member was eligible to
						  receive, but elected not to receive, under the Veterans' Pension Act of 1959
						  (38 U.S.C. §§
													503,
						  506,
						  521,
						  522,
						  541-543,
						  617 and
						  3203) is not counted. The person
						  does not have to apply for the increase if the person qualified for veterans
						  benefits on June 30, 1960 and elected not to receive the increase in benefits
						  provided under the Veterans' Pension Act of 1959.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › RESTRICTED INCOME NOT COUNTED › Section 140.72 - Income of an SSI recipient

Current through Register Vol. 54, No. 28, July 13, 2024
The income of an SSI recipient is not considered
						  available to meet the needs of an applicant/recipient except those payments
						  made to the applicant/recipient for goods, services and room and board. The
						  person receiving SSI is not included as a family member when determining the
						  eligibility of the Healthy Beginnings applicant.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › RESTRICTED INCOME NOT COUNTED › Section 140.73 - Income received as representative payee for a child

Current through Register Vol. 54, No. 28, July 13, 2024
If a member of the applicant/recipient group or family
						  member is payee for a benefit for a child and the benefit is legally restricted
						  to the use of that child, the income is not counted in determining income
						  eligibility if the child is not a Healthy Beginnings
						  applicant/recipient.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME DEDUCTIONS › Section 140.81 - Deductions from earned income

Current through Register Vol. 54, No. 28, July 13, 2024
Each employed individual in the Healthy Beginnings
						  family whose income is used to determine the eligibility of the budget group is
						  entitled to the following deductions from earned income, in the following
						  order:
(1)
Work
						expenses
. The first $90 per month from the earned income of each
						individual who is employed if the employed individual or family member is not
						eligible to receive an earned income incentive deduction as described in
						paragraph (2) or if the $90 per month deduction is more advantageous to the
						applicant or recipient group.
(2)
Earned income incentive deductions
.
(i) Each employed individual in the applicant
						or recipient group or family member is eligible to receive an earned income
						incentive deduction if one of the following exists:
(A) The employed individual is a recipient of
						Healthy Beginnings.
(B) The
						employed individual has been a recipient of cash assistance, NMP-MA or MNO-MA
						in a TANF-related category in 1 of the 4 calendar months before the date of the
						application for Healthy Beginnings.
(C) The employed individual has been a
						recipient of NMP-MA or MNO-MA in a GA-related category with a child who was
						simultaneously a recipient of MA in a TANF-related category in 1 of the 4
						calendar months before the date of the application for Healthy
						Beginnings.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME DEDUCTIONS › Section 140.82 - Unearned income expense deductions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The expenses which the
						applicant/recipient or family member is required to pay to be eligible for, or
						to receive, the unearned income are deducted. Expenses include, but are not
						limited to, attorney fees, transportation costs and court costs.
(b) The replacement cost of real or personal
						property that is covered by a personal damage award or insurance settlement is
						deducted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME DEDUCTIONS › Section 140.83 - Deductions from delayed or retroactive benefits

Current through Register Vol. 54, No. 28, July 13, 2024
If delayed or retroactive benefits are subject to
						  reimbursement to the Department, the amount owed under the reimbursement
						  agreement is deducted from the amount of the delayed benefit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME DEDUCTIONS › Section 140.84 - Rental property agency fees

Current through Register Vol. 54, No. 28, July 13, 2024
The amount paid to a rental agency to manage rental
						  property owned by the applicant/recipient is deducted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › INCOME DEDUCTIONS › Section 140.85 - Guardian fee deductions

Current through Register Vol. 54, No. 28, July 13, 2024
The fee paid to a guardian who controls the income or
						  property of an applicant/recipient when the guardian has been court appointed
						  and the guardian fee is imposed as a part of the court order is
						  deducted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › RESOURCE REQUIREMENTS › Section 140.91 - Resources

Current through Register Vol. 54, No. 28, July 13, 2024
Resources are not considered when determining
						  eligibility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › RESOURCE REQUIREMENTS › Section 140.100 - Resources of children under 21 years of age and families with children under 21 years of age

Current through Register Vol. 54, No. 28, July 13, 2024
The resources of the Healthy Beginnings child under 21
						  years of age and the Healthy Beginnings applicant/recipient immediate families
						  with children under 21 years of age are excluded. If the child who is under 21
						  years of age is living with a caretaker who is not immediate family as defined
						  in §
												140.2 (relating to definitions)
						  and who exercises care and control of the child, the resources of the caretaker
						  are excluded.
The provisions of this §
														140.100 issued 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 II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › VERIFICATION REQUIREMENTS › Section 140.101 - Verification of pregnancy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For
						Categorically Needy Healthy Beginnings, the pregnancy and expected delivery
						date shall be verified by a licensed physician, clinic or other medical source.
						Verification of the pregnancy is required prior to the authorization of
						benefits.
(b) For presumptive
						eligibility, the pregnancy shall be medically verified by the qualified
						provider at the time of the determination of presumptive eligibility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › VERIFICATION REQUIREMENTS › Section 140.102 - Verification of date of birth for qualified children

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Documentation verifying the birth date of
						the qualified child is required. Benefits may be authorized if the stated birth
						date appears to be consistent and reasonable. The applicant is required to
						provide verification of the birth date within 30 days after date of
						application.
(b) Documentation of
						birth date is not required if previously verified and properly noted in the
						case record, unless a discrepancy exists.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › VERIFICATION REQUIREMENTS › Section 140.103 - Verification of income

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Verification of income is required prior to authorization of benefits. An
						applicant/recipient may not be denied MA for lack of verification if the
						applicant/recipient has cooperated in the verification attempt under
						§§
												125.21 and
						133.23 (relating to the policy;
						and requirements).
(b) For
						presumptive eligibility, the qualified provider is not required to verify the
						applicant's income prior to authorization of presumptive eligibility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › REDETERMINATION/REAPPLICATION REQUIREMENTS › Section 140.111 - Redetermination/reapplication requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For
						Categorically Needy Healthy Beginnings, the redetermination/reapplication
						requirements in Chapter 133 (relating to redetermining eligibility)
						apply.
(b) For presumptive
						eligibility, no redetermination/reapplication requirements apply.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.121 - Category designation

Current through Register Vol. 54, No. 28, July 13, 2024
Pregnant women and qualified children who are eligible
						  to receive Categorically Needy Healthy Beginnings benefits are designated as
						  "PS" category.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.122 - Postpartum eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
A woman who is eligible for and receiving benefits at
						  termination of the pregnancy, regardless of the reason for the termination,
						  shall continue to receive MA coverage through the end of the month in which the
						  60-day postpartum period (beginning on the last day of her pregnancy) ends,
						  without regard to a change in income during that period. The newborn child is
						  also eligible through the end of the month in which the 60-day postpartum
						  period ends. Eligibility under this section ceases if the woman changes her
						  legal residence to another state before the end of the month in which the
						  60-day postpartum period ends.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.123 - Continuation of coverage to qualified children

Current through Register Vol. 54, No. 28, July 13, 2024
If a qualified child is receiving inpatient care and
						  exceeds the age limit during the hospital stay, benefits will continue until
						  the end of the hospital stay if the income requirements continue to be
						  met.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.124 - Eligibility begin date

Current through Register Vol. 54, No. 28, July 13, 2024
The eligibility begin date for Categorically Needy
						  Healthy Beginnings may be the date the application is signed or the date the
						  signed application is date stamped by the county assistance
						  office.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.125 - Eligibility end date

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Eligibility ends on one of the following dates:
(1) For the woman whose eligibility was based
						on pregnancy, the end of the month in which the 60-day postpartum period ends.
						The 60-day period begins with the date the pregnancy was terminated.
(2) For the qualified child, the day
						preceding the date that the child exceeds the age
						limitation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.126 - Notification of eligibility/ineligibility

Current through Register Vol. 54, No. 28, July 13, 2024
The applicant will be notified in writing regarding
						  eligibility/ineligibility for benefits under the Categorically Needy Healthy
						  Beginnings Program. If determined ineligible, the applicant has a right to
						  appeal and fair hearing under Chapter 275 (relating to appeal and fair hearing
						  and administrative disqualification hearings).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › BENEFIT COVERAGE › Section 140.127 - Notification of termination

Current through Register Vol. 54, No. 28, July 13, 2024
The recipient will be notified in writing regarding the
						  termination of Categorically Needy Healthy Beginnings benefits as follows:
(1) For the woman whose eligibility
						was based on pregnancy, advance notice is issued at least 10 days prior to the
						expiration of the end of the month in which the 60-day postpartum period
						ends.
(2) For the qualified child,
						advance notice is issued at least 10 days prior to the date that the child
						exceeds the age limitation.
(3) For
						the woman or newborn who moves out of this Commonwealth prior to the end of the
						month in which the 60-day postpartum period ends, advance notice is issued at
						least 10 days prior to the termination date.
(4) If benefits are terminated due to
						increased income, loss of the $30 plus 1/3 disregard, or the $30 disregard,
						advance notice is issued at least 10 days prior to the termination
						date.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN › Section 140.141 - Presumptive eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
Temporary outpatient prenatal services are provided
						  under the Categorically Needy Healthy Beginnings Program to pregnant women
						  determined to be presumptively eligible. Presumptive eligibility is determined
						  by a qualified provider as defined in §
												140.2 (relating to definitions)
						  pending a determination of eligibility for MA benefits by the CAO.
(1) Presumptive eligibility is based on the
						following criteria:
(i) An individual is
						pregnant.
(ii) An individual is
						determined income eligible by a qualified provider.
(iii) An individual meets the following
						specific eligibility conditions:
(A)
Chapter 147
(relating to residence).
(B)
Chapter 149
(relating to
						citizenship and alienage).
(C)
Signing forms.
The applicant for presumptive eligibility is
						required to complete and sign the application forms designated by the
						Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN › Section 140.142 - Presumptive eligibility begin and end dates

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The begin date for presumptive
						eligibility is the date that the qualified provider makes the presumptive
						eligibility determination.
(b) The
						end date for presumptive eligibility is whichever of the following dates is
						earlier:
(1) The date of the first MAID Card
						Issuance for which the deadline can be met following the determination by the
						county assistance office of the individual's eligibility/ineligibility for
						continued MA benefits.
(2) The 45th
						day following the date on which the individual was determined by a qualified
						provider to be presumptively eligible.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter A - THE CATEGORICALLY NEEDY HEALTHY BEGINNINGS PROGRAM FOR PREGNANT WOMEN AND QUALIFIED CHILDREN › PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN › Section 140.143 - Notification of presumptive eligibility/ineligibility

Current through Register Vol. 54, No. 28, July 13, 2024
The pregnant woman will be notified in writing by the
						  qualified provider of eligibility/ineligibility for medical coverage under the
						  presumptive eligibility provisions.