327.5 Changes in Circumstances

The CAO must decide again on whether a specified relative can get MA in a MAGI-related category of MG 27 or a TANF-related MA category when any of the following happens:  

55 Pa. Code § 151.41

    

55 Pa. Code § 145.43

 

When any of the above conditions change, the CAO must take the following actions:

 

1. Decide whether the child still meets the conditions of a dependent child.

2. Check whether there has been any change in the applicant/recipient group, or MAGI-based household and evaluate any changes.

3. Decide whether the specified relative meets conditions for other MA.

 

        NOTE: The CAO must send an advance notice letting the individual know of a change that decreases medical benefits.

 

 

Updated October 19, 2018, Replacing February 14, 2012