What is the PA loophole?

Asked by: Bailee Quitzon Jr.  |  Last update: October 17, 2025
Score: 4.4/5 (19 votes)

What is the PA loophole? This Pennsylvania Loophole allows for children with disabilities who meet “certain disability standards” to qualify for medical assistance regardless of the income of their parents. A child can qualify even if they have other insurance.

What is the income limit for PA medical assistance?

This income limit, now $2,829/month, normally changes on January 1st of each year. This monthly figure represents 300% of the federal SSI benefit amount and is usually revised upwards each year due to inflation. $2,829 is the income threshold amount for 2024.

What is the PA verification rule?

Code r. 1024. Rule 1024 - Verification (a) Every pleading containing an averment of fact not appearing of record in the action or containing a denial of fact shall state that the averment or denial is true upon the signer's personal knowledge or information and belief and shall be verified.

What is the PA waiver program?

The Pennsylvania Department of Aging Waiver Program is a program that provides home and community based long-term care services to individuals as an alternative to nursing home placement.

What does the PA access card do for medical benefits?

The Medicaid card provides coverage for non-emergency medical transportation, hospital services, birth centers and family planning, diagnostics and screenings, lab and x-ray tests, nursing facilities, doctor visits, and home health care.

What Is THCa? (LOOPHOLE Explained)

40 related questions found

What does an access card entitle you to?

The Access Card enables me to quickly communicate my need for ramp or lift access, or search ahead to pick the events that are already accessible. It's taken the worry away. I can now do things with my friends and family without having to explain medical conditions. It's just made life easier.

Do you automatically qualify for Medicaid with disability in PA?

If you live independently or in someone else's household, you receive a separate payment from Pennsylvania in addition to your federal SSI payment. If you get SSI, you usually can get medical assistance (Medicaid) automatically. If you have questions about Medicaid, contact your local county human services office.

What is the income limit for PA waiver 2024?

When applying for Medicaid funded home- and community-based services through the Community Health Choices waiver, formerly referred to as the Aging Waiver, there is an income limit that changes from year to year. The 2024 monthly income limit is gross income of $2,829.

What is the Pennsylvania Hardship Program?

Dollar Energy Fund's Pennsylvania Hardship Program provides one-time assistance grants to Pennsylvania American Water customers that are applied directly to their utility bill. Funding is available on a first come, first serve basis and eligibility requirements vary based on the utility company.

Who is eligible for the Medicaid waiver program?

Medicaid waivers are for people with disabilities and chronic health conditions. They allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. Medicare is a federal program. To be eligible, a person must be 65 years or older.

What is the rule 600 in PA?

Rule 600.

(a) Trial in a court case in which a written complaint is filed against the defendant shall commence within 365 days from the date on which the complaint is filed.

What is the rule 524 in PA?

Release on Recognizance (ROR): Rule 524 (C) (1) a. No amount is set for this type. a. Release conditioned upon the defendant's written agreement to be liable for a fixed sum of money if he or she fails to appear as required or fails to comply with the conditions of the bail bond.

What is the rule 400 in PA?

Rule 400.

(a) Except as provided in subdivisions (b) and (c) and in Rules 400.1 and 1930.4, original process shall be served within the Commonwealth only by the sheriff.

How much money can you have in the bank on Medicaid in PA?

The MNO-MA asset limits are $2,400 for an individual and $3,200 for a couple. There is no additional asset disregard. 2) Asset Spend Down – Seniors who have assets over Medicaid's limit can still become asset-eligible by spending down extra assets on non-countable ones.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What is the hero program in PA?

The HEROES Program, powered by the Pennsylvania Behavioral Health Center, we are dedicated to providing a comprehensive, integrated treatment and recovery program, uniquely tailored to the needs of military members, veterans, and emergency and public safety professionals.

How can I get money if I'm struggling?

Facing financial hardship
  1. Food assistance. ...
  2. Unemployment benefits. ...
  3. Welfare benefits or Temporary Assistance for Needy Families (TANF) ...
  4. Emergency housing assistance. ...
  5. Rental assistance. ...
  6. Help with utility bills. ...
  7. Government home repair assistance programs.

What is the highest income to qualify for Medicaid 2024?

Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.

Who is eligible for the PA waiver program for seniors?

Must be 60 years of age or older. Must be found medically eligible for Nursing Facility Services. A Medical Evaluation form (MA-51) must be completed by a physician. The Area Agency on Aging Options Unit will conduct a face-to-face assessment to determine the medical eligibility.

Does social security count as income for pace?

As a participating senior in a PACE program, any financial burden you may have is not directly dependent on your income from Social Security benefits or other sources. But it is dependent in an indirect way, because your eligibility for Medicaid depends on your income and resources.

What illness automatically qualifies for disability?

Neurological disorders (e.g., epilepsy, benign brain tumors) Mental disorders (e.g., bipolar disorder, anxiety, depression) Cancer (malignant neoplastic diseases) Immune system disorders (e.g., HIV infection, lupus, inflammatory arthritis)

What income is too high for SSI?

SSI is generally for individuals who don't earn more than $2,019 from work each month. The income limit increases for couples and when parents apply for children. We also look at other sources of income besides your job, like disability benefits, unemployment, and pensions.

How much food stamps do SSI recipients get in 2024?

Starting September 30, 2024, any informal assistance for food will not be considered ISM and will not reduce the SSI benefits. This is an important change since in California the maximum SSI benefits that a recipient can receive in 2024 is typically $1,182.94.