Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

55 Pa. Code § 181.3. Income reporting and verification provisions for all categories of MA.

§ 181.3. Income reporting and verification provisions for all categories of MA.

 (a)  The applicant/recipient or a person acting on his behalf is required to report and verify earned and unearned income, allowable deductions, such as work and personal expenses, and medical expenses used in determining eligibility for MA.

 (b)  Verification for income, expenses and deductions consists of documentation specified by the Department which is appropriate for the item being verified and includes, but is not limited to, paystubs, pay envelopes, a statement by the employer or other documentary proof of the business income and work and personal expenses of the applicant/recipient, award letters or copies of benefit checks.

 (c)  Verification for medical expenses includes, but is not limited to, invoices, bills, receipts and statements which identify the type, amount and the date of the medical service.

 (d)  An applicant/recipient may not be denied MA for lack of verification if he has cooperated in the verification attempt.

Authority

   The provisions of this §  181.3 issued under section 403(b) of the Public Welfare Code (62 P. S. §  403(b)).

Source

   The provisions of this §  181.3 adopted August 26, 1988, effective November 1, 1988, 18 Pa.B. 3949.



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