Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part I - General Health › Chapter 4 - HEAD INJURY PROGRAM › Section 4.5 - Application for enrollment as a HIP client

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Initial contact
. An
				individual who is interested in enrolling in HIP or in arranging for another
				individual to be enrolled in HIP shall contact the Eligibility Specialist of
				the Division by writing to: Eligibility Specialist, Department of Health,
				Division of Child and Adult Health Services, Post Office Box 90, 7th Floor East
				Wing, Health And Welfare Building, Harrisburg, Pennsylvania 17108. Contact may
				also be made by facsimile or electronic mail.
(b)
Funding
. The Division
				will accept an application for enrollment in HIP only if the funds designated
				to HIP from the Catastrophic Medical and Rehabilitation Appropriation exceed
				projected expenditures in providing HIP services to current clients.
(c)
Waiting list
. If the
				funds designated to HIP from the Catastrophic Medical and Rehabilitation
				Appropriation are not adequate to enable the Division to accept an application
				for an individual for whom enrollment in HIP is sought, the Division will place
				the individual on a waiting list if the individual so elects. The individual on
				the waiting list or the authorized representative shall immediately notify the
				Division of any change in mailing address. The Division will request an
				individual on the waiting list, or the authorized representative, to submit an
				application for enrollment as funding becomes available. Except as otherwise
				provided in this chapter, the Division will request individuals on the waiting
				list, or their authorized representatives, to submit applications in the order
				that the requests to be placed on the waiting list were received by the
				Division. Individuals who are receiving case management services through HIP as
				of August 27, 2001, but who have never received rehabilitation services through
				HIP, will be given first priority on the waiting list.
(d)
Application
. When an
				individual qualifies to receive an application for enrollment in HIP, the
				Division will send to that individual or the person who sought to enroll that
				individual in HIP, at the mailing address provided to the Division, information
				on HIP and application materials. If the individual is on a waiting list, the
				Division will also request that the individual notify the Division in writing
				whether the individual is still seeking enrollment in HIP. The notification
				shall be timely only if it is postmarked within 21 days after the date the
				materials were sent by the Division. If the Division receives a timely
				notification that enrollment in HIP is desired, the Division will proceed with
				the application process. If the Division is apprised that enrollment in HIP is
				no longer desired, or if the Division does not receive timely notification of
				continued interest in enrollment, the Division will remove the individual from
				the waiting list, contact the next person on the waiting list and repeat the
				process.
(e)
Request and
				application for reenrollment
. A request for reenrollment may be filed
				for an individual who was previously enrolled in HIP. If there is a waiting
				list, the Division will not accept an application for reenrollment. Instead, it
				will place the individual on the waiting list. The Division will give priority
				to individuals on the waiting list who have not previously received
				rehabilitation services from HIP. The Division will request individuals who
				have previously received rehabilitation services from HIP who are on the
				waiting list, or their authorized representatives, to submit applications for
				reenrollment. The Division's requests for these applications will be made in
				the order that the requests for reenrollment were received. Except as provided
				in subsection (c), the Division will only accept a request or application for
				reenrollment for an individual who is not a client at the time the request or
				application is made.
(f)
Acceptance of application
. The Division will accept an
				application for enrollment only from the individual for whom enrollment is
				sought or from an authorized representative.