Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 488 (January 27, 2024).

55 Pa. Code § 1147.21. Scope of benefits for the categorically needy.

SCOPE OF BENEFITS


§ 1147.21. Scope of benefits for the categorically needy.

 Categorically needy recipients are eligible for vision examinations, low vision aids and eye prostheses. They are not eligible for eyeglasses unless they are 20 years of age or younger and the eyeglasses have been:

   (1)  Prescribed through the EPSDT program as described in §  1101.32(a)(1) (relating to coverage variations).

   (2)  Prescribed through the School Medical program as described in §  1101.32(a)(2).

   (3)  Prior authorized by the Department as provided through the EPSDT program when screening has not occurred under §  1101.32(a)(1).

Authority

   The provisions of this §  1147.21 issued under sections 403(a) and (b) and 443.6 of the Public Welfare Code (62 P. S. § §  403(a) and (b) and 443.6).

Source

   The provisions of this §  1147.21 adopted January 25, 1980, effective February 1, 1980, 10 Pa.B. 264; amended November 30, 1984, effective December 1, 1984, 14 Pa.B. 4370, and by approval of the court of a joint motion for modification of a consent agreement dated February 11, 1985 in Turner v. Beal et al., C.A. No. 74-1680 (E.D. Pa. 1975). Immediately preceding text appears at serial pages (96108) to (96109).

Cross References

   This section cited in 55 Pa. Code §  1147.11 (relating to types of services covered).



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