Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 6000.5 - Medical assistance(a) Special needs.--A child with special needs who resides in this Commonwealth and who is the subject of an adoption assistance agreement with another state shall receive medical assistance from the Commonwealth upon the provision of a certified copy of the adoption assistance agreement with the other state to the department. The adoptive parents shall annually present evidence of the continuation or renewal of the agreement in accordance with procedures adopted by the department.(b) Benefits.--The department shall ensure that a child eligible for medical assistance under subsection (a) receives the same medical assistance benefits as provided to other recipients of medical assistance in this Commonwealth.(c) Additional coverage.--The county agency shall provide reimbursement or payment for medical services and benefits specified in the adoption assistance agreement for a child living in another party state which are not available under the medical assistance program of the resident state under Title XIX of the Social Security Act (49 Stat. 620, 42 U.S.C. § 301 et seq.).(d) False claims.--A claim for payment or reimbursement for services or benefits or a statement related to the claim which the maker knows or has reason to believe is false, misleading or fraudulent shall be a violation of 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities).(e) Continuation.--This section shall apply only to medical assistance for children under adoption assistance agreements from states that have entered into compacts with the Commonwealth. All other children entitled to medical assistance pursuant to adoption assistance agreements shall be eligible to receive it in accordance with the laws and procedures applicable thereto.2002, June 28, P.L. 467, No. 76, § 5, effective in 60 days.