The following words and phrases when used in this chapter shall have the meanings
given to them in this section unless the context clearly indicates otherwise:
“Applicant.” An individual who applies for services under this chapter and who meets all of the
(1) Legally resides in the United States.
(2) Is domiciled in this Commonwealth.
(3) Is 60 years of age or older.
“Assisted individual.” An applicant who meets all of the following:
(1) Is domiciled in this Commonwealth for at least 30 days prior to requesting an
(2) Has been assessed by the department to be in need of care equivalent to the level
of care provided by a nursing facility.
(3) Has monthly income at or below 300% of the Federal benefit rate.
(4) Exceeds the resource eligibility requirements for medical assistance under the
act of June 13, 1967 (P.L. 31, No. 21), 1 known as the Public Welfare Code, but does not exceed a resource level determined
by the department and the Department of Public Welfare which in no case shall be less
“Department.” The Department of Aging of the Commonwealth.
“Enrolled provider.” A provider who participates in the medical assistance program pursuant to the act
of June 13, 1967 (P.L. 31, No. 21), known as the Public Welfare Code.
“Federal benefit rate.” The amount payable to a Supplemental Security Income (SSI) beneficiary under section
1611(b)(1) of the Social Security Act (49 Stat. 620, 42 U.S.C. § 1382(b)(1)) who resides in his or her own home and has no income or resources.
“Funded individual.” An applicant who meets all of the following:
(1) Has been assessed to be in need of care equivalent to the level of care provided
by a nursing facility.
(2) Is financially eligible for medical assistance under the act of June 13, 1967
(P.L. 31, No. 21), known as the Public Welfare Code.
“Home and community-based care services.” An array of services designated by the Department of Aging and the Department of Public
Welfare to maintain older Pennsylvanians in their homes.
“Nursing facility.” A facility which is:
(1) licensed under the act of July 19, 1979 (P.L. 130, No. 48), 2 known as the Health Care Facilities Act; and
(2) qualified to participate under Title XIX of the Federal Social Security Act. 3
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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