Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart C - Eligibility Requirements › Chapter 140 - SPECIAL MA ELIGIBILITY PROVISIONS › Subchapter B - ELIGIBILITY PROVISIONS FOR THE HEALTHY HORIZONS PROGRAM FOR THE ELDERLY/DISABLED › GENERAL PROVISIONS › Section 140.202 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						  subchapter, have the following meanings, unless the context clearly indicates
						  otherwise:
Applicant/recipient
-A person who is
						  applying for, or receiving, benefits under the Healthy Horizons Program.
Calendar quarter
-A period of 3-full
						  calendar months beginning with January, April, July or October.
Countable net income
-Income counted in
						  determining income eligibility for Healthy Horizons, less appropriate
						  exemptions, deductions and disregards.
Earned income
-Money or other
						  compensation received in return for services rendered.
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.
Infrequent income
-Income that is
						  received not more than once in a calendar quarter.
Irregular income
-Income that is not
						  subject to scheduling or is unpredictable.
Legal guardian
-A person who is court
						  appointed as the legal guardian.
Personal property
-Privately owned
						  possessions which are not real property. The term includes cash, bank accounts,
						  stocks, bonds, mortgages, cash value of life insurance policies, household
						  furnishings, personal effects, motor vehicles, boats and Federal, State and
						  local tax refunds.
QI-Qualifying individual
-An individual
						  who is enrolled in Medicare hospital insurance under Part A and meets the
						  income requirements in §
												140.231(c) or (d)
						  (relating to income eligibility limitations) and resource requirements in
						  §
												140.301 (relating to resource
						  eligibility limitations).
QI-1s-Qualifying Individual-1s
-A
						  qualifying individual who meets the income requirements in §
												140.231(c).
						  Eligibility for Medicaid benefits is limited to full payment of Medicare Part B
						  premiums.
QI-2s-Qualifying Individual-2s
-A
						  qualifying individual who meets the income requirements in §
												140.231(d).
						  Eligibility for Medicaid benefits is limited to partial payment of Medicare
						  Part B premiums.
QMB-Qualified Medicare beneficiary
-An
						  individual who is entitled to, or voluntarily enrolled in, Medicare hospital
						  insurance under Part A.
Real property
-Land, buildings, mobile
						  homes and improvements thereto.
SLMB-Specified low-income Medicare
						  beneficiary
-An individual who meets the eligibility requirements for
						  QMB status except for income in excess of the QMB income limit, but not
						  exceeding the limits specified in § 140.231.
SSI-Supplemental Security Income
-The
						  benefit amount paid to an eligible person or to an eligible person and the
						  eligible spouse under Title XVI of the Social Security Act (42 U.S.C.A. §§
													1381 -
						  1383c.
Spouse
-A person who is married to
						  another by legal ceremony or by common-law.
The provisions of this §
														140.202 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 §
														140.305 (relating to resources of
							 children under 21 years of age and families with children under 21 years of
							 age).