Conditions of ineligibility

Act 166 of 2014, § 9, under PENNSYLVANIA COMMUNITY ADULT RESPITE SERVICES PROGRAM ACT - ENACTMENT.

Act 166 of 2014, § 9

Section 9. Conditions of ineligibility.

(a) General rule.--An enrolled participant who no longer meets the definition of a community adult respite services participant must be disenrolled from the program in accordance with the provisions of subsection (b).

(b) Determination of ineligibility.--In the event that a participant is determined ineligible for community adult respite services, the program coordinator of a program shall:

(1) Provide the participant or designated person with written notice of ineligibility and a list of community resources that may be available.

(2) Work with the participant or designated person and local program administrator to develop a transition plan before the participant is disenrolled from the community adult respite services program.

(3) With the consent of the participant or designated person, make a referral to the area agency on aging to assess eligibility for and access to other appropriate long-term care services.

(c) Appeals.--The participant has the right to appeal the ineligibility determination. The department shall promulgate regulations and issue statements of policy establishing a formal appeals process.

(d) Emergency situations.--The department shall promulgate regulations and issue statements of policy regarding emergency situations, where an immediate change in settings is needed for a participant to address an imminent threat or health or safety issue.