Section 22.52. Use of the PACE identification card

(a) The PACE identification card shall be retained in the possession of claimant or the claimant’s authorized representative and not be given to providers except for inspection and immediate return. The claimant remains responsible for its appropriate use to claim benefits. In no case may a claimant send the PACE identification card through the mail to a provider.

(b) A claimant may claim PACE benefits only if the claimant, or the claimant’s designated representative, presents the enrolled provider with a validated PACE identification card except when the claimant orders prescriptions services by mail.

(c) An incapacitated claimant who is, because of the incapacity, unable to personally claim PACE benefits may designate another person to do so. Persons so designated shall, whenever they claim PACE benefits on behalf of an incapacitated claimant, present the enrolled provider with the claimant’s validated PACE identification card except when they request prescription services by mail; inform the enrolled provider of their designation; and sign their own name and indicate their relationship to the incapacitated claimant on the PACE claim form. To claim PACE Program benefits through prescription services by mail, designated representatives of an incapacitated claimant shall have legal authority to represent the claimant as evidenced by power of attorney or other legal document and shall sign all forms requiring the claimant’s signature.

(d) Eligibility for PACE benefits terminates upon the death of a claimant. A deceased claimant’s PACE identification card should be promptly returned to the Department by the claimant’s relative, representative or by another responsible person.

The provisions of this § 22.52 adopted June 15, 1984, effective June 16, 1984, 14 Pa.B. 2109; amended December 13, 1985, effective December 14, 1985, 15 Pa.B. 4427. Immediately preceding text appears at serial page (96834).

Notation

Cross References

This section cited in 6 Pa. Code § 22.62 (relating to conditions of provider participation).