55 Pa. Code § 148.13 - Temporary absence from this Commonwealth

A resident of this Commonwealth who is temporarily absent from this Commonwealth is considered a Pennsylvania resident if the person intends to return to this Commonwealth when the purpose of the absence has been accomplished, unless another state has determined that the person is a resident there for MA purposes.

(1) MA is provided to a recipient while he is in another state if:

(i) The recipient requires emergency medical care while temporarily away from his home.

(ii) The recipient's health would be at risk if the service was postponed until his return home.

(iii) The recipient's health would be endangered if he were required to travel back to this Commonwealth.

(iv) It is the general practice for recipients in a particular locality to use medical resources in a neighboring state.

(v) The CAO determines, on the basis of medical advice, that the recipient has better access to the type of care needed in another state.

(2) MA is discontinued to the person temporarily absent, following advance notification, effective for the next MAID Card issuance which deadlines can be met if:

(i) The CAO determines that the purpose of the temporary absence has been accomplished and the recipient has not returned to this Commonwealth.

(ii) Another state has determined that the person is a resident there for MA purposes.

(3) A recipient temporarily absent from this Commonwealth is subject to the reapplication or partial reapplication requirements under Chapter 133 (relating to redetermining eligibility).

Notes

55 Pa. Code § 148.13