Get Pa1572

Instructions for Completing Resource Assessment Form, PA 1572. (To be used by a couple when one of them is in a nursing facility, other medical institution or assessed eligible for Home and Community Based Services (HCBS), and the other lives in the community.)

When filling out the application, you will need to provide certain information on your personal situation including household income, federal tax information, SSN, current health insurance (if applicable), housing expenses proof, proof of citizenship or required documentation for qualifying non-US citizens, and ...

​Medical Assistance General Eligibility Requirements Children aged 18 and under. Pregnant women. Parents and caretakers of children under 21. Adults ages 19-64 with incomes at or below 133 percent of the Federal Income Poverty Guidelines (FPIG) Family planning services.

When filling out the application, you will need to provide certain information on your personal situation including household income, federal tax information, SSN, current health insurance (if applicable), housing expenses proof, proof of citizenship or required documentation for qualifying non-US citizens, and ...

If a non-married person applying for benefits has more than $2,742 of gross monthly income, then the resource limit for countable (non-exempt) resources is $2,400. If the applicant has gross income which is $2,742 or less, then the person's resource limit is $8,000.

Know the deadlines. The caseworkers must generally make a decision within 45 days of the application. If you are denied benefits then you generally have 30 days from the mailing date of the denial notice in which to file an appeal.