Medicaid Application Instructions

There are several ways to apply for Pennsylvania Medicaid program:


  • The fastest way is to apply via website. The state of Pennsylvania has created a website for different kinds of welfare and social programs and that’s This is where you can easily sign-up for your own account and from there simply fill online form. This is perhaps the most convenient way to apply for different programs, since COMPASS helps you determine if you’re eligible for those programs. If you need any additional information regarding this web site and the process of applying for Medicaid, call helpline at 1-800-692-7462 (Monday through Friday, between 8:30am to 4:45pm).

  • You can also visit your local county assistance office where you can always find all of the needed information about Medicaid and other programs, as well as all of the needed documentation and forms. A good thing is that you can also seek assistance from trained stuff which will help you fill out forms and answer all your questions.

If you need help finding out where your local county assistance office is located, than go to This is where you can find a list of all county assistance offices in Pennsylvania as well as their phone numbers.

  • A third way to sign up for Medicaid program is to download and print an application form. This document is named “Application for cash, assistance, SNAP and Medical Assistance Benefits” and could be found here: After you’ve filled out this form, all you need is to mail it to your county assistance office, to start with the procedure of evaluation.


After you’ve successfully applied, you should receive a notice whether you’re application is approved or denied in a period no longer than 30 days. Some patients who need urgent medical need can be approved in a period of five days.

Eligibility Requirements

There are several categories which are eligible for Pennsylvania Medical Assistance programs:


  • Families with children under the age of 21, with low- and very low-income.

  • Senior citizens older than 65 years of age, which are disabled in a certain way.

  • People aged from 59 to 64, with temporary disables.


If you belong to one of these categories, you should apply for Medicaid program. Still, a large part of whether you’ll be approved are your financial resources. This is different from one case to another, which means that there’s no official list of documents which you’ll need to collect. Insight into financial resources are based upon the bank documents like checking and savings accounts, trust funds, life insurance, vehicles you own, burial funds and non-resident property. According to Pennsylvania law, your home is not factored into eligibility for Medical Assistance program.

There are also some other cases when you could apply for Medicaid. In these cases you should make an appointment with your physician, which needs to fill out application form called “PA1663”. These cases are:


  • If a person is permanently disabled or has a chronic medical condition,

  • If a person has a chronic medical condition but is still working,

  • If a person required health sustaining medication or other form of medical help in order to work,

  • If a person is the caretaker for a household member who is ill or who has a disability (in case there’s no one else in the household to care for that person),

  • And finally, if a person is immigrant with an emergency medical condition.