62 Pa. Stat. § 442.3

Current through P.A. Acts 2023-32
Section 442.3 - Eligibility redetermination of persons on medical assistance
(a) Unless the medical assistance recipient is a member of the class of persons described in subsection (b), the department shall make an eligibility redetermination every six months.
(b) Persons not subject to an eligibility redetermination every six months are:
(i) Persons receiving long-term care services.
(ii) Persons who are receiving medical assistance in an elderly or disabled category.
(iii) Pregnant women.
(iv) Children under one year of age.
(v) Children living with relatives other than a parent when the adult's income does not affect eligibility.
(vi) Children in foster care or adoption assistance programs.
(vii) Persons receiving Extended Medical Coverage (EMC).
(c) During the fiscal year beginning July 1, 2005, the department shall perform eligibility determinations in accordance with this section for at least 50% of the persons not described in subsection (b). For fiscal years beginning after June 30, 2006, the department shall perform eligibility determinations for at least 95% of the persons not described in subsection (b).
(d) Nothing in this section shall be construed to limit the department in determining the number or frequency of redeterminations of any person on assistance.

62 P.S. § 442.3

1967, June 13, P.L. 31, No. 21, art. 4, § 442.3, added 2005, July 7, P.L. 177, No. 42, § 1, imd. effective.