§ 22.42. Responsibilities of the claimant in the eligibility redetermination process.
The claimant has the responsibility to conform to the following:
(1) Complete the PACE application form legibly and accurately.
(i) Answer questions fully.
(ii) Present necessary evidentiary documents under the following requirements:
(A) Regarding residence, a photocopy of one of the documents listed in § 22.22(b) (relating to residence provisions) or other documentation acceptable to the Department, except when the application has the claimant’s current name and address preprinted on it. A claimant applying for redetermination of eligibility is not required to submit documentation of residence if the claimant’s name and current address is preprinted on the application form.
(B) Regarding income, documents required to substantiate each source of income, as defined in § 22.2 (relating to definitions) and as set forth in § 22.24(e) (relating to income provisions), whenever required to do so by the Department.
(C) Regarding qualification for other benefits, information identifying participation in the other programs referred to in § 22.25 (relating to other third-party benefits).
(iii) Read the certification and authorization statement.
(iv) Sign or mark the application form.
(v) Obtain signatures required by the Department on the instructions which accompany the application form.
(2) Submit the completed application form to the Department.
(3) Assist the Department in securing evidence which corroborates the claimant’s statements when necessary.
(4) Consent to a review by the Department of information submitted on the application form, with reasonable prior notice to the claimant, if selected for review. PACE eligibility may be terminated if the claimant refuses to cooperate with the request.
Source The provisions of this § 22.42 adopted June 15, 1984, effective June 16, 1984, 14 Pa.B. 2109; amended March 29, 1985, effective March 30, 1985, 15 Pa.B. 1163; amended December 15, 1990, effective December 16, 1990, 20 Pa.B. 6143. Immediately preceding text appears at serial pages (96832) and (103127).
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