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Medical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services. Check any that you are applying for: Home and Community Waiver Services – Type/Name of Waiv. Please read the entire form. Print the requested information in the unshaded sections.
Download, fill out, and print a paper application then send it to your local County Assistance Office. Download a form (PDF)
Submit a form. Medicaid, also known as Medical Assistance (MA) in PA, helps Pennsylvanians access healthcare and supportive services essential to living a healthy life.
Pennsylvania Application for Benefits. This is an application for cash, Medical Assistance and SNAP benefits. If you need this application in another language or someone to interpret, please contact your local county assistance ofice. Language assistance will be provided free of charge.
You can apply online at www.compass.state.pa.us. in Pennsylvania. Easy, affordable protection for your family. Information about Health Care Coverage. Please note: If you need Medicaid benefits for families without children, cash assistance, or food stamps, you must complete a different application.
How to apply for Medicaid in Pennsylvania: Online: www.compass.state.pa.us. By Phone: 1-866-550-4355. In-Person: See listing of local County Assistance Offices (CAOs) By Mail: Send the completed application form, PA 600 HC, and all supporting documents, to your local CAO. Download the application form in other languages below:
Learn who’s eligible to enroll in Pennsylvania's Medicaid program, how to apply, the status of Medicaid expansion and the effects of Medicaid disenrollment. Please provide your zip code to see plans in your area.
