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PA Bulletin, Doc. No. 23-119



Chronic Renal Disease Program Income Criteria

[53 Pa.B. 676]
[Saturday, January 28, 2023]

 The Department of Health (Department) provides notice of intent to implement the following income criteria for the Chronic Renal Disease Program (Program), effective January 1, 2023.


 New Program applicants must have an annual income of 0% to 325% of the Federal Poverty Income Guidelines (FPIG) as published by the United States Department of Health and Human Services (HHS) in the Federal Register and any revisions thereto (to the extent services are not covered by Medical Assistance). Current enrollees must meet the same eligibility criteria at the time of renewal as applicants. A Patient Share of Cost will be applied on a sliding scale to applicants with an annual income of 185% to 325% of the FPIG as published by the HHS in the Federal Register and any revisions thereto. Applicants must submit their Federal 1040 tax return from the prior calendar year to verify annual household income. If no Federal 1040 tax return was filed, other supporting documentation of annual household income is required.

 The notice at 45 Pa.B. 2321 (May 9, 2015), titled ''Chronic Renal Disease Program Income Criteria,'' is obsolete with the issuance of this notice.

 For additional information or persons with a disability who require an alternative format of this notice (for example, large print, audio tape or Braille), contact Kathy Jo Stence, Director, Bureau of Family Health, Division of Child and Adult Health Services at (717) 772-2762.Speech and/or hearing-impaired persons may contact the Pennsylvania Hamilton Relay Services at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

Acting Secretary

[Pa.B. Doc. No. 23-119. Filed for public inspection January 27, 2023, 9:00 a.m.]

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