Section 9. Need Determination

Eligibility for PACE is determined prospectively. Applicants/recipients must meet, or expect to meet, all financial eligibility criteria in the month for which a determination of eligibility is made. Applicants for and recipients of medicaid through PACE must apply for, and take all necessary steps to obtain, any income or resources to which they may be entitled. Such steps must be taken within 30 days of the date the HCA (HCA) furnishes notice of the potential entitlement. Failure or refusal to apply for and take all necessary steps to determine eligibility for other benefits after notice is received results in an applicant/recipient becoming ineligible for medicaid. A. Applicants/recipients who have elected a lower veterans affairs (VA) payment do not need to reapply for veteran’s administration improved pension (VAIP) benefits. B. Crime victims are not required to accept victim’s compensation payments from a state- administered fund as a condition of medicaid eligibility.