Pennsylvania Medicaid Program
Pennsylvania
What is Pennsylvania Medicaid Program?
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 Pennsylvania.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
To be eligible for Pennsylvania Medicaid, you must be a resident of the state of Pennsylvania, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
- Pregnant, or
- Be responsible for a child 17 years of age or younger, or
- Have a disability or a family member in your household with a disability.
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 | $20,030 |
| 2 | $27,186 |
| 3 | $34,341 |
| 4 | $41,496 |
| 5 | $48,652 |
| 6 | $55,807 |
| 7 | $62,963 |
| 8 | $70,118 |
Application Details
What is the application process for Pennsylvania Medicaid Program?
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 Info
1-866-550-4355