Medicaid State Plan | Department of Human Services | Commonwealth of Pennsylvania
Source: https://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-state-plan
Archived: 2026-04-23 17:10
Medicaid State Plan | Department of Human Services | Commonwealth of Pennsylvania
Medicaid State Plan
The most current and approved Medicaid State Plan is now available in a searchable text PDF format.
Email questions about the Medicaid State Plan
Thank you for your interest in the Pennsylvania Medicaid State Plan.
0000 Table of Contents
0000.A Read Me Pennsylvania Medicaid State Plan
0000.B Superseding Pages
0000.C Approved MAGI Conversion Plan
0000.D Presumptive Eligibility for Hospitals - Supporting Materials
0001 Section 1
0001 Section 2
0003 Section 3
0004 Section 4
0005 Section 5
0006 Section 6
0007 Section 7
0008 Attach. 1.1 to 1.4
0009 Attach. 2.1A
0010 Attach. 2.2A
0011 Attachment 2.6
0012 Atachment 2.7 A
0013 Attachment 3.1A-3.1B
0014 Attachment 3.1B
0015 Attachment 3.1C
0016 Attachment 3.1D
0017 Attachment 3.1E
0018 Attachment 3.1F
0018.A Attachment.3.1L-1
0018.B Attachment.3.1L-2
0018.C Attachment 3.1M
0019 Attachment 3.2
0020 Attachment 4.11
0021 Attachment 4.16
0022 Attachment 4.17
0023 Attachment 4.18
0024 Attachment 4.19A
0025 Attachment 4.19B
0026 Attachment 4.19C
0027 Attachment 4.19D
0028 Attachment 4.19E
0029 Attachment 4.22
0030 Attachment 4.30
0031 Attachment 4.33
0032 Attachment 4.34
0033 Attachment 4.35
0034 Attachment 4.38
0035 Attachment 4.39
0036 Attachment 4.40
0037 Attachment 4.42
0038 Attachment 4.43
0039 Attachment 5
0040 Attachment 7
0041 MAGI-Based Eligibility Groups
0042 Eligibility Process
0043 MAGI-Based Income Methodologies
0044 Single State Agency A1-A3
0045 Residency
0046 Citizenship and Immigration Status
0047 Presumptive Eligibility for Hospitals
Portal/Disaster SPAs note: SPAs submitted through the CMS MMDL and MACPro Portals, such as eligibility, Health Homes, cost sharing, and MAGI are not compatible with the current State Plan document. Therefore, these SPAs are listed here:
PA-22-0016 Postpartum CMS approval
|
PA-23-0001-A
|
SPA 24-0005
Children's Health Insurance Program (CHIP) State Plan
Medicaid State Plan
The most current and approved Medicaid State Plan is now available in a searchable text PDF format.
Email questions about the Medicaid State Plan
Thank you for your interest in the Pennsylvania Medicaid State Plan.
0000 Table of Contents
0000.A Read Me Pennsylvania Medicaid State Plan
0000.B Superseding Pages
0000.C Approved MAGI Conversion Plan
0000.D Presumptive Eligibility for Hospitals - Supporting Materials
0001 Section 1
0001 Section 2
0003 Section 3
0004 Section 4
0005 Section 5
0006 Section 6
0007 Section 7
0008 Attach. 1.1 to 1.4
0009 Attach. 2.1A
0010 Attach. 2.2A
0011 Attachment 2.6
0012 Atachment 2.7 A
0013 Attachment 3.1A-3.1B
0014 Attachment 3.1B
0015 Attachment 3.1C
0016 Attachment 3.1D
0017 Attachment 3.1E
0018 Attachment 3.1F
0018.A Attachment.3.1L-1
0018.B Attachment.3.1L-2
0018.C Attachment 3.1M
0019 Attachment 3.2
0020 Attachment 4.11
0021 Attachment 4.16
0022 Attachment 4.17
0023 Attachment 4.18
0024 Attachment 4.19A
0025 Attachment 4.19B
0026 Attachment 4.19C
0027 Attachment 4.19D
0028 Attachment 4.19E
0029 Attachment 4.22
0030 Attachment 4.30
0031 Attachment 4.33
0032 Attachment 4.34
0033 Attachment 4.35
0034 Attachment 4.38
0035 Attachment 4.39
0036 Attachment 4.40
0037 Attachment 4.42
0038 Attachment 4.43
0039 Attachment 5
0040 Attachment 7
0041 MAGI-Based Eligibility Groups
0042 Eligibility Process
0043 MAGI-Based Income Methodologies
0044 Single State Agency A1-A3
0045 Residency
0046 Citizenship and Immigration Status
0047 Presumptive Eligibility for Hospitals
Portal/Disaster SPAs note: SPAs submitted through the CMS MMDL and MACPro Portals, such as eligibility, Health Homes, cost sharing, and MAGI are not compatible with the current State Plan document. Therefore, these SPAs are listed here:
PA-22-0016 Postpartum CMS approval
|
PA-23-0001-A
|
SPA 24-0005
Children's Health Insurance Program (CHIP) State Plan