Section 145.83. Requirements

Latest version.

(a) General. Reference should be made to § 141.81(c) (relating to eligibility policy for Medically Needy Only) for age requirements of the various categories.
(b) Institutionalization. Institutionalization requirements will be as follows:
(1) A person is not eligible for MA services provided to him in an institution if:
(i) He is a patient in an institution for tuberculosis and is under 65 years of age.
(ii) He is a patient in an institution for mental diseases and is between 21 and 65 years of age.
(2) However, the persons are eligible for the care provided outside the institution by practitioners not on the institutional staff.

                    
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