55 Pa. Code § 140.513 - Eligibility end date

Eligibility for EMC ends under the following conditions:

(1) During the first 6 months:

(i) When the budget group no longer includes a child. Eligibility ends effective the first Medical Assistance Identification (MAID) Card issuance deadline date that can be met with the appropriate notice.

(ii) When the only child in the budget group exceeds the AFDC age requirements in accordance with § 145.43 (relating to requirements). Eligibility ends effective the first MAID card issuance deadline date in the month following the month the child exceeded the age requirement.

(2) During the second 6 months:

(i) When the average gross monthly earned income for the previous 3 months, less allowable child care costs, exceeds the allowable Federally established percentage of the Federal Poverty Income Guidelines for the appropriate family size. Eligibility ends effective the first MAID card issuance deadline date that can be met with the appropriate notice.

(ii) When a specified relative in the EMC budget group does not maintain employment in each of the previous 3 months and the lack of employment was not due to involuntary loss of employment, illness or good cause as set forth in § 165.52 (relating to good cause). Eligibility ends effective the first MAID card issuance deadline date that can be met with the appropriate notice. The condition of maintaining employment is met if one of the following applies:

(A) The specified relative worked in each of the 3 previous months and is employed or working at the end of the last month of the quarter.

(B) If unemployed in any of the 3 previous months, the specified relative received a definite job offer and will begin work within the first month of the next quarter.

(3) When the budget group fails to report the information required under § 140.521 (relating to reporting requirements) necessary to determine continued EMC eligibility. Eligibility ends effective the first MAID card issuance deadline date that can be met with the appropriate notice.

(4) When the 12-month EMC eligibility period expires and the budget group has received 24 semimonthly MAID cards. Eligibility ends effective the first MAID card issuance deadline date that can be met with the appropriate notice.

Notes

55 Pa. Code § 140.513

The provisions of this § 140.513 adopted October 16, 1992, effective upon publication and apply retroactively to April 1, 1990, 22 Pa.B. 5164.