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
ELIGIBILITY REQUIREMENTS
Section 140.221 - Conditions of eligibility

Universal Citation: 55 PA Code ยง 140.221

Current through Register Vol. 54, No. 44, November 2, 2024

Eligibility for MA under the Healthy Horizons Program is based on the following:

(1) An individual shall meet the following eligibility requirements:

(i) Chapters 125 and 127 (relating to application process; and reserved).

(ii) Chapter 148 (relating to residence).

(iii) Chapter 149 (relating to citizenship and alienage).

(iv) Chapter 155 (relating to enumeration).

(v) Chapter 178 (relating to resource provisions for categorically NMP-MA and MNO-MA).

(vi) Chapter 255 (relating to restitution).

(vii) Chapter 257 (relating to reimbursement).

(2) Under the Healthy Horizons Categorically Needy Program, an individual shall also meet one of the following criteria:

(i) Be 65 years of age or older.

(ii) Be a disabled person who is receiving Social Security Disability benefits or disability benefits based on SSI disability criteria at § 141.71 (relating to policy).

(iii) Be a disabled person who meets the disability requirements of § 141.71.

(3) Under the Healthy Horizons Medicare Cost-Sharing Program, an individual shall also be a qualified Medicare beneficiary.

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