104.53 Denying an Application for Failure to Cooperate in Providing Verification

The applicant is responsible for providing, to the extent that they are able, verification required for establishing eligibility.

55 Pa. Code § 125.21

The CAO must help the applicant, if necessary, to get the required verification or establish a reasonable plan with the applicant for getting the verification on their own.

55 Pa. Code § 201.1

If the applicant fails to cooperate in providing the necessary verification, the CAO must do the following:

Deny assistance.

Use reason code 042 for the denial.

Send a Notice to Applicant that includes:

What information was not provided or what action was not taken;

The regulation requiring this information or action; and

What action the CAO took to help the applicant get this information.

NOTE: Review and authorize Medical Assistance if necessary verification is available. See Medical Assistance Eligibility Handbook Chapter 378.

55 Pa. Code § 125.21

55 Pa. Code § 13 3 .23

55 Pa. Code § 201.3