Pennsylvania Medicaid Program

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In some states the program covers all low-income adults below a certain income level.

Note: Medicaid is sometimes referred to by state specific names. Regardless of the various names, the programs are still Medicaid and are governed by Federal Medicaid law and regulations.

Administration

Pennsylvania Medicaid Program is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

Medicaid programs must follow Federal guidelines, but they vary somewhat from state to state.

In general for this benefit program, you must be a U.S. national, citizen, legal alien or permanent resident, and have low income.

You must also be a resident of the state of Pennsylvania.

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $16,040
2 $21,599
3 $27,159
4 $32,718
5 $38,277
6 $43,837
7 $49,396
8 $54,956

*For households with more than eight people, add $5,559 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

To apply online, please visit the COMPASS online application portal.

For additional application information, visit the Health Care/ Medical Assistance page. You will be able to download an application form directly from the site.

You may also find out if you qualify through the Marketplace application.

Contact:

1-866-550-4355

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