Medicaid | Department of Human Services | Commonwealth of Pennsylvania
Source: https://www.pa.gov/agencies/dhs/resources/medicaid
Archived: 2026-04-23 17:20
Medicaid | Department of Human Services | Commonwealth of Pennsylvania
Medicaid / Medical Assistance
Medicaid, also known as Medical Assistance (MA), pays for health care services for eligible individuals.
Apply for Medicaid
Renew Your Medicaid
HealthChoices
HealthChoices is the name of Pennsylvania's managed care programs for Medicaid / Medical Assistance recipients. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. To learn more about available services, find information for participants and providers in the sections below:
Physical HealthChoices
Providing timely access to quality medical care through Pennsylvania's Medicaid program.
Physical HealthChoices
Behavioral HealthChoices
Connecting people who receive Medicaid benefits with mental health and drug/alcohol services.
Behavioral HealthChoices
Community HealthChoices
Serving more people in communities rather than in facilities by providing necessary supports.
Community HealthChoices
HealthChoices Income Requirements
138% of Federal Poverty Income Guidelines
Household size
Annual Income Limits
1
$22,025
2
$29,864
3
$37,702
4
$45,540
5
$53,379
6
$61,217
7
$69,056
8
$76,894
Each Addt’l
$7,839
Effective: January 13, 2026
View this post on Instagram
A post shared by Pennsylvania Department of Human Services (@pahumanservices)
Medicaid information for Providers
Providers and find detailed information on how to conduct business with the Office of Medical Assistance Programs (OMAP) on our
Medicaid Assistance for Providers section
.
Provider Billing Information
Use the resources below find information concerning common billing issues:
Review comprehensive provider billing information
Electronic Visit Verification (EVV)
Drug Fee Schedules
MA Fee Schedules
Fee-For-Service Pharmacy Services
Provider Quick Tips
Health Information Exchange
Medicaid for Children with Special Needs (PH95)
Medicaid for Children with Special Needs (PH95) provides full and free Medical Assistance (MA) coverage to children up to age 18 with disabilities whose parents make too much money to qualify for traditional Medicaid categories.
Medicaid for Children with Special Needs
Frequently Asked Questions about Medicaid
Medicaid covers a broad range of physical and behavioral health services, including doctor visits when you’re sick, preventive care like health screenings, vaccines, hospital stays, prescription medications, mental health and substance use disorder care, and more.
Check coverage details for:
Breast and Cervical Cancer Screening and Treatment
Dental Service
HealthChoices
Health Insurance Premium Payment (HIPP) Program
Home and Community-Based Services
Limited English and Interpreters
Medical Assistance Transportation Program
(MATP)
Medical Assistance Benefits for Workers with Disabilities
Medical Assistance for Children and Pregnant Women
Mental Health and Substance Abuse
Prescription Drug Coverage
If you apply for and qualify for Medicaid, you'll get more information about how to use your benefits and have the opportunity to pick a HealthChoices
managed care organization (MCO)
, to help you coordinate your care. Your MCO works with providers, and you can contact your MCO to find doctors in your community.
If you are not eligible or lost your Medicaid/Medical Assistance coverage, you may be able to get low-cost or even no-cost health coverage through
Pennie
™, Pennsylvania’s official health and dental insurance marketplace.
Pennie’s open enrollment runs from November through January every year, but depending on your personal situation, you may qualify for a special enrollment period.
FAQ: Medical Assistance Citizenship
Medicaid Providers Contact Information
Medicaid General Eligibility Requirements
Statewide Managed Care Map
Apply for Medicaid
You can apply online, in-person, on the phone, or through the mail.
Apply Online
Use our quick, easy, and secure COMPASS website.
Apply Online
Apply by Telephone
Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355
1-866-550-4355
Apply In-Person
Your local county assistance office (CAO) have professionals that will help you apply.
Find You County Assistance Office
Apply by Mail
Download, fill out, and print a paper application then send it to your local County Assistance Office.
Download a form (PDF)
Medicaid Resources
Medicaid General Eligibility
Waivers
Medicaid & CHIP Renewals Home
Enroll in Healthy Beginnings Plus
Copay Help
Apply for Medicaid Health Insurance Premium Payment Program (HIPP)
Breast and Cervical Cancer Prevention and Treatment (BCCPT)
1095-B Tax Form
Medicaid State Plan
Statewide MCO Map
Prescription Drug Coverage
Pregnancy and Family Planning
Medicaid for-Workers with Disabilities
Medicaid Dental-Services
Pediatric Complex Care Resource Centers
Interoperability
Medicaid for Children with Special Needs
Track your application status
After you apply for benefits, you can check your application at any time. Go to trackmybenefits.pa.gov to see updates on your LIHEAP, Medicaid, SNAP, or TANF application.
Check your status
Medicaid / Medical Assistance
Medicaid, also known as Medical Assistance (MA), pays for health care services for eligible individuals.
Apply for Medicaid
Renew Your Medicaid
HealthChoices
HealthChoices is the name of Pennsylvania's managed care programs for Medicaid / Medical Assistance recipients. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. To learn more about available services, find information for participants and providers in the sections below:
Physical HealthChoices
Providing timely access to quality medical care through Pennsylvania's Medicaid program.
Physical HealthChoices
Behavioral HealthChoices
Connecting people who receive Medicaid benefits with mental health and drug/alcohol services.
Behavioral HealthChoices
Community HealthChoices
Serving more people in communities rather than in facilities by providing necessary supports.
Community HealthChoices
HealthChoices Income Requirements
138% of Federal Poverty Income Guidelines
Household size
Annual Income Limits
1
$22,025
2
$29,864
3
$37,702
4
$45,540
5
$53,379
6
$61,217
7
$69,056
8
$76,894
Each Addt’l
$7,839
Effective: January 13, 2026
View this post on Instagram
A post shared by Pennsylvania Department of Human Services (@pahumanservices)
Medicaid information for Providers
Providers and find detailed information on how to conduct business with the Office of Medical Assistance Programs (OMAP) on our
Medicaid Assistance for Providers section
.
Provider Billing Information
Use the resources below find information concerning common billing issues:
Review comprehensive provider billing information
Electronic Visit Verification (EVV)
Drug Fee Schedules
MA Fee Schedules
Fee-For-Service Pharmacy Services
Provider Quick Tips
Health Information Exchange
Medicaid for Children with Special Needs (PH95)
Medicaid for Children with Special Needs (PH95) provides full and free Medical Assistance (MA) coverage to children up to age 18 with disabilities whose parents make too much money to qualify for traditional Medicaid categories.
Medicaid for Children with Special Needs
Frequently Asked Questions about Medicaid
Medicaid covers a broad range of physical and behavioral health services, including doctor visits when you’re sick, preventive care like health screenings, vaccines, hospital stays, prescription medications, mental health and substance use disorder care, and more.
Check coverage details for:
Breast and Cervical Cancer Screening and Treatment
Dental Service
HealthChoices
Health Insurance Premium Payment (HIPP) Program
Home and Community-Based Services
Limited English and Interpreters
Medical Assistance Transportation Program
(MATP)
Medical Assistance Benefits for Workers with Disabilities
Medical Assistance for Children and Pregnant Women
Mental Health and Substance Abuse
Prescription Drug Coverage
If you apply for and qualify for Medicaid, you'll get more information about how to use your benefits and have the opportunity to pick a HealthChoices
managed care organization (MCO)
, to help you coordinate your care. Your MCO works with providers, and you can contact your MCO to find doctors in your community.
If you are not eligible or lost your Medicaid/Medical Assistance coverage, you may be able to get low-cost or even no-cost health coverage through
Pennie
™, Pennsylvania’s official health and dental insurance marketplace.
Pennie’s open enrollment runs from November through January every year, but depending on your personal situation, you may qualify for a special enrollment period.
FAQ: Medical Assistance Citizenship
Medicaid Providers Contact Information
Medicaid General Eligibility Requirements
Statewide Managed Care Map
Apply for Medicaid
You can apply online, in-person, on the phone, or through the mail.
Apply Online
Use our quick, easy, and secure COMPASS website.
Apply Online
Apply by Telephone
Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355
1-866-550-4355
Apply In-Person
Your local county assistance office (CAO) have professionals that will help you apply.
Find You County Assistance Office
Apply by Mail
Download, fill out, and print a paper application then send it to your local County Assistance Office.
Download a form (PDF)
Medicaid Resources
Medicaid General Eligibility
Waivers
Medicaid & CHIP Renewals Home
Enroll in Healthy Beginnings Plus
Copay Help
Apply for Medicaid Health Insurance Premium Payment Program (HIPP)
Breast and Cervical Cancer Prevention and Treatment (BCCPT)
1095-B Tax Form
Medicaid State Plan
Statewide MCO Map
Prescription Drug Coverage
Pregnancy and Family Planning
Medicaid for-Workers with Disabilities
Medicaid Dental-Services
Pediatric Complex Care Resource Centers
Interoperability
Medicaid for Children with Special Needs
Track your application status
After you apply for benefits, you can check your application at any time. Go to trackmybenefits.pa.gov to see updates on your LIHEAP, Medicaid, SNAP, or TANF application.
Check your status