R414-310-4. General Eligibility Requirements  


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  •   (1) The provisions of Sections R414-302-3, R414-302-4, R414-302-7, and R414-302-8 concerning United States (U.S.) citizenship, alien status, state residency, use of social security numbers, and applying for other benefits, apply to applicants and enrollees of PCN.

      (2) An individual who is not a U.S. citizen or national, or who does not meet the alien status requirements of Section R414-302-3 is not eligible for any services or benefits under PCN.

      (3) An individual must be at least 19 and not yet 65 years of age to enroll in PCN.

      (a) The month in which an individual turns 19 years of age is the first month that the person may enroll in PCN.

      (b) An individual must apply for the PCN program before he turns 65 years of age.

      (c) Enrollment shall end effective the end of the month in which an individual turns 65 years of age.

      (4) The eligibility agency only accepts applications during open enrollment periods. The eligibility agency limits the number it enrolls according to the funds available for the program and may stop enrollment at any time.

      (a) The open enrollment period may be limited to:

      (i) individuals with children under the age of 19 in the home;

      (ii) individuals without children under the age of 19 in the home.

      (b) The eligibility agency may not accept applications or maintain waiting lists during a period that enrollment of new individuals is stopped.

      (5) The provisions of Subsection R414-302-6(1) and (4) apply to applicants and enrollees of PCN who are residents of institutions.

      (6) An applicant or enrollee is not required to provide Duty of Support information to enroll in PCN. An adult whose eligibility for Medicaid has been denied or terminated for failure to cooperate with Duty of Support requirements may not enroll in the PCN program.