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Learn How to Apply for Medicaid in Pennsylvania

UPDATE: In 2020, the requirements and application steps for obtaining Medicaid insurance have undergone no significant changes.

Where do you sign up for Medicaid in Pennsylvania? When it comes to the PA Medicaid application process, the state has worked to ensure its residents are informed about their health insurance options and that they are covered when eligible. However, filing Medicaid application forms are up to you. That said, understanding how to apply for Medicaid can be a bit confusing, since there are so many options.

Regarding where to apply for Medicaid, the state has added more assistance offices and built a strong online portal to ensure it is easier than ever before to file forms for Medicaid applications in Pennsylvania. For more details, review the sections below:

What Are the Requirements for Medicaid Applications in Pennsylvania?

In order to apply for Medicaid in Pennsylvania, you will need to complete an application and attach any and all required identity verification materials. In addition, have handy your Social Security Number and your proof of PA state residency.

Download our in-depth guide to learn more about how to apply for Medicaid.

At the time of your application for Medicaid, if you are not a United States citizen, you will be asked to provide proof of your legal status in the country. Individuals who have a legal alien residency or a permanent residency immigration status are eligible for care and can apply for CHIP or Medicaid coverage in Pennsylvania successfully.

Once you have gathered the information to prove your identity, you should then collect income documents, such as tax forms, pay stubs or financial statements if you have any assets to claim. Note that to ensure all PA Medicaid application information is accurate and correct, Pennsylvania’s Department of Human Services uses an income verification process.

Additionally, if you are currently enrolled in another healthcare policy under your work or through the private marketplace, have the information on your medical coverage plan on hand, as well.

Parents who need to apply for Medicaid in PA for their children (or any others residing in their households) will need to provide the above details for each family member as well. Your forms for Medicaid application require the above information for any beneficiaries you plan to claim in your Medicaid plan in PA.

How to Apply for Medicaid Online in Pennsylvania

Online Medicaid applications can be filed through the Department of Human Services’ website. COMPASS, Pennsylvania’s health portal, can be accessed at any time of day or night, and can be used to apply for Medicaid, as well as other state-sponsored services.

Discover all of the steps you must take when applying for Medicaid by downloading our detailed guide.

In order to apply for Medicaid online in Pennsylvania, you will need to first create a username and password for COMPASS. From the COMPASS login, you’ll be able to apply for benefits, check the status of any applications in progress, and report any changes to your income or eligibility for benefits.

In order to file an application for Medicaid through the online portal, you will need to share the following:

  • Income information
  • Address information
  • Your Social Security Number
  • The Social Security Numbers of any members of your household who will also be covered under the government-sponsored health care policy

All PA patients who are applying for medical assistance benefits will need to produce proof of citizenship or immigration status, as well as proof of Pennsylvania residency. Minor children are also required to prove the above.

Once your application is submitted online, you will be able to check on the processing of your application via your Social Security Number and login information that you set up upon enrollment.

Your Pennsylvania Medicaid application will take no longer than 30 days to be processed with a decision. You may check the status of your Medicaid application forms in PA at any time, but it can take several days for your case to be updated.

Where to Apply for Medicaid in Pennsylvania in Person

Where do you sign up for Medicaid at a physical location? You may apply for Medicaid in Pennsylvania in person through your local County Assistance Office. There are several locations throughout the state of Pennsylvania to ensure all residents in need of assistance receive it.

Prior to going to the office, however, call ahead to ensure an advisor is available to help you with your Medicaid application forms. Once you have confirmed you can be assisted by a Medicaid representative, gather the required documents mentioned above. That way, you can ensure you finish your Pennsylvania Medicaid application with ease.

Submit your forms for Medicaid application in person, and request information on how to follow up on the status of your case, if need be.

How to File Medicaid Application Forms by Phone

If you cannot file an online Medicaid application, and you cannot get to your local County Assistance Office, consider filing your Medicaid application in PA by phone. So long are you are eligible for Medicaid, you can also apply via the Consumer Service Center for Health Care Coverage. A representative can be reached Monday through Friday from 8 a.m. until 7 p.m. at 866-550-4355.

Before making a phone call, ensure you have all of your important information available. This includes proof of residency, proof of citizenship and the Social Security Numbers of all those who will be covered under your PA Medicaid policy. As you are guided through the sign up for Medicaid, be sure to be as comprehensive with your details as possible, in order to avoid any delays in processing.

If you simply need to call in with any questions about your Medicaid application in Pennsylvania, they can be directed to the Consumer Services Center for Health Care Coverage as well. You can call the department directly at 866-550-4355 for any questions or concerns you have regarding your application for Medicaid in PA.