6 Pa. Code § 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.
Notes
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