327.2 Conditions for a Specified Relative

To be considered a specified relative, a individual must meet all of the following conditions:          55 Pa Code § 151.42  

NOTE:  This means that the individual is (a) taking part in making plans for the support, education, and care of the child (b) able to carry out those plans, and (c) asking for benefits for the child.

  55 Pa Code § 151.42 (ii)  

The specified relative does not need to be included in the applicant/recipient group. However, if a parent applies for MA, he or she may have to be included in the same applicant/recipient group as the child.

327.21 Relationship to the Dependent Child

A specified relative must be related to the dependent child in one of the following ways:          55 Pa code § 151.42 (iii)  

 NOTE:  The CAO must not consider second, third, etc. cousins as specified relatives.

NOTE:  The biological parent of an adopted child or a relative of the biological parent may be named as the specified relative only if one or both adoptive parents are dead or if the child returns to the biological parent’s care and control.

NOTE:   A stepparent living in the same home as the child's parent may be named a specified relative only if the parent in the home is disabled and/or unable to care for the child. Otherwise, the stepparent must meet the financial and nonfinancial conditions to qualify for PD/TD if he or she does not meet the conditions for any other category.

NOTE:  To be a specified relative, a stepgrandparent must be the spouse of a grandparent. A parent of a stepparent does not qualify as a specified relative.

Examples:  Jane M. applies for cash assistance for Tommy G., who is the grandson of her husband. Her husband, Martin M. is the father of Mary G., who is Tommy’s mother. Jane may be named a specified relative, because she is married to Tommy’s grandparent.

 Anna W. applies for MA for Peter C. Peter’s stepfather, Michael W., is Anna’s son. Anna does not qualify as a  specified relative.

NOTE:  The CAO decision is made only to identify a specified relative and does not prove paternity. Until paternity is legally proven, a putative father must not be considered a parent or legally responsible relative. An individual must not be considered the father simply because he says he is

55 Pa Code § 151.43 (f)

327.22 Custody of the Dependent Child

The eligibility of the specified relative is not affected if:            55 Pa Code § 151.43 (a)

In a joint- or shared-custody situation, the parent who has primary physical custody of the child is considered the caretaker or relative, and the other parent is considered the absent parent. (See a related cash policy at (Cash Assistance Handbook, Section 129.21, Shared Custody/Joint Custody.) If the parents have equal custody, the parent who applies first is considered the specified relative and the other parent is considered the absent parent. If both parents are eligible for MA, only one parent is named as the specified relative. The child's ACCESS card must be sent to the address of the specified relative.

55 Pa. Code § 153.45(a)

Example: Mr. and Mrs. Gray, who are divorced, have a joint-custody order. Their two children live with each parent for a week at a time. Mrs. Gray applies for MA for herself and the children because she has been laid off from her job and will not be able to keep up her group medical insurance. Mrs. Gray is named as the specified relative and payment name for MA.

        NOTE:  The MA benefit is to cover the child's medical needs during the entire period, not just when the child is with the parent who is considered the specified relative. The CAO does not have to work out any problems between the parents about the use of the MA card.

 

Updated February 14, 2012, Replacing July 8, 2008