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
Universal Citation: 55 PA Code ยง 140.141
Current through Register Vol. 54, No. 44, November 2, 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.
(2) Only one period of presumptive eligibility is granted per individual per pregnancy per qualified provider.
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