Current through Pa Acts 2024-53, 2024-56 through 2024-111
Section 3761-503 - Determination of eligibility(a) Duties of department.-- The department shall adopt regulations relating to the determination of eligibility of prospective claimants and providers, including dispensing physicians and certified registered nurse practitioners when acting in accordance with rules and regulations promulgated by the State Board of Nursing as required by the act of May 22, 1951 (P.L. 317, No. 69), known as The Professional Nursing Law, and the State Board of Pharmacy minimum standards of practice, and the determination and elimination of program abuse. To this end, the department shall establish a compliance unit staffed sufficiently to fulfill this responsibility. The department shall have the power to declare ineligible any claimant or provider who abuses or misuses the established prescription plan. The department shall have the power to investigate cases of suspected provider or recipient fraud. (b)Social Security cost-of-living adjustment.-- (1) Notwithstanding any other provision of this act to the contrary, persons who, as of December 31, 2022, are enrolled in the PACENET program shall remain eligible for the PACENET program if the maximum income limit is exceeded due solely to a Social Security cost-of-living adjustment.(2) Notwithstanding any other provision of this act to the contrary, persons who, as of December 31, 2022, are enrolled in the PACE program shall remain eligible for the PACE program if the maximum income limit is exceeded due solely to a Social Security cost-of-living adjustment.(3) Eligibility in the PACE or PACENET program pursuant to this subsection shall expire on December 31, 2025.Amended by P.L. (number not assigned at time of publication) 2023 No. 62,§ 1, eff. 12/14/2023.Amended by P.L. TBD 2021 No. 92, § 1, eff. 12/22/2021.Amended by P.L. TBD 2019 No. 95, § 1, eff. 11/27/2019.Amended by P.L. TBD 2017 No. 62, § 1, eff. 12/21/2017.Amended by P.L. TBD 2015 No. 91, § 1, eff. 12/28/2015.Amended by P.L. 27 2014 No. 12, § 2, eff. 2/7/2014.1971, Aug. 26, P.L. 351, No. 91, § 503, added 1996, Nov. 21, P.L. 741, No. 134, § 2, imd. effective. Amended 2003, Nov. 26, P.L. 212, No. 37, § 2, imd. effective; 2008, July 9, P.L. 934, No. 69, § 1, imd. effective; 2011, June 30, P.L. 88, No. 21, § 1, retroactive effective Dec. 30, 2010.