405.1 General Policy

The Department of Public Welfare (DPW) may pay for Medical Assistance (MA) Long-Term Care (LTC) services for an individual applying for or receiving  payment of Home and Community Based Services (HCBS) or services in a LTC facility.  An individual may receive payment for LTC services if he is eligible in one of the following programs:        55 Pa. Code § 178.11      55 Pa. Code § 178.12  

The County Assistance Office (CAO) must assign a program category for payments.

NOTE:  The following categories are non-medical assistance (MA) categories:

These categories are entered into eCIS by the appropriate program for billing purposed only.  individuals enrolled in these categories do not  have medical assistance benefits. CAO staff is not able to update these cases.  

Individuals may apply for and receive Cash, SNAP, or MA benefits if the individual is non-financially and financially eligible. If an individual is found eligible for Cash, SNAP, or MA, the benefits must be authorized in a new e-CIS case record number.    

 

  

Updated April 12, 2013 ,  Replacing March 12, 2012