Current through Register Vol. 54, No. 45, November 9, 2024
Section 425.13 - Third party sponsorship(a) Medicaid eligible senior citizens may not have medical purpose trips reimbursed by the program. The Department of Public Welfare or its affiliated agencies will reimburse the contractors for the trips.(b) Area agencies on aging and, with the prior approval, nonprofit social service organizations and health care facilities may do one of the following:(1) Reimburse senior citizens directly.(2) Enter into cooperative arrangements with contractors under which area agencies on aging and, with prior approval, nonprofit social service organizations and health care facilities may reimburse contractors directly for senior citizens for the passenger share-25¢ or 10%, whichever is greater.(c) In cases other than those listed in subsections (a) and (b), the senior citizens shall directly pay the driver the appropriate share of the fare in cash or produce evidence of the senior citizen's prepayment.(d) Contractors may not sell tokens or other evidence of prepayment of the senior citizens share of the cost of a ride to another agency or organization other than area agencies on aging and, with prior approval, nonprofit social service organizations and health care facilities, but may sell tokens or other evidence of prepayment to senior citizens.(e) Third party sponsorship by nonprofit social service organizations and health care facilities is subject to prior approval by the Department, and for counties for which a coordinator has been designed under § 425.13a (relating to coordination), by the coordinator.The provisions of this §425.13 adopted January 3, 1986, effective 2/3/1986, 16 Pa.B. 24; corrected January 17, 1986, 16 Pa.B. 194; amended November 7, 1986, effective 11/8/1986, 16 Pa.B. 4414; readopted December 28, 1990, effective 12/29/1990, 20 Pa.B. 6391.The provisions of this §425.13 amended under section 205(5)(v) of the Pennsylvania Urban Mass Transportation Law (55 P. S. § 600.205(5)(v)).
This section cited in 67 Pa. Code § 425.7 (relating to fares).