Section 140.21. Conditions of eligibility

Eligibility for MA is based on the following:

(1) An individual shall meet one of the following criterion:

(i) Be pregnant.

(ii) Be a qualified child.

(2) An individual shall also meet the appropriate eligibility conditions in this title. The specific eligibility conditions which shall be met are the following:

(i) Chapter 148 (relating to MA residence provisions for categorically needy NMP-MA and MNO-MA).

(ii) Chapter 149 (relating to citizenship and alienage).

(iii) Chapter 155 (relating to enumeration).

(iv) Signing forms—An applicant/recipient is required to complete and sign the application/reapplication forms designated by the Department.

(v) Chapter 255 (relating to restitution).

(vi) Chapter 257 (relating to reimbursement).

(vii) Responsibility for reporting changes—An applicant/recipient is responsible for reporting accurately, within 1 week, a change in circumstances affecting eligibility.

(viii) Third party liability—An applicant/recipient shall cooperate in identifying and providing information to assist the Department in pursuing a third party who may be liable to pay for medical care and services.