How to Apply for Medicaid in Pennsylvania: A Step-by-Step Guide

09/12/2025

At CareChoice, we understand how important it is for Pennsylvania families to access the support they need—especially when it comes to affording quality home care services. One of the most essential programs available to help cover the cost of care is Medicaid, also known as Medical Assistance in Pennsylvania.

If you’re wondering how to apply for Medicaid in Pennsylvania, this step-by-step guide will walk you through everything you need to know: eligibility requirements, documents you’ll need, application methods, and helpful tips to streamline the process.

What Is Medicaid?

Medicaid is a state and federally funded program that provides free or low-cost health coverage to low-income individuals, seniors, people with disabilities, children, pregnant women, and some families. In Pennsylvania, this program is administered through the Department of Human Services (DHS) and can help cover a wide range of services, including home care, nursing services, and long-term care supports.

Medicaid Eligibility in Pennsylvania

To qualify for Medicaid in Pennsylvania, applicants must meet specific financial, residency, and citizenship criteria. Here’s what that typically includes:

Income Requirements

Income limits vary depending on:

  • Household size
  • Age and disability status
  • Type of Medicaid program (e.g., long-term care, Managed Care, Medicaid for Workers with Disabilities)

For example, seniors applying for Home and Community-Based Services (HCBS) must meet both income and asset guidelines.

Asset / Resource Limits

In some Medicaid programs (especially those for elderly or disabled adults), assets are considered. Countable resources may include:

  • Bank account balances
  • Stocks and bonds
  • Property (excluding your primary residence)
  • Vehicles (with some exceptions)

Residency and Citizenship

You must:

  • Be a Pennsylvania resident
  • Be a U.S. citizen or qualified non-citizen

Note: Emergency Medical Assistance may be available for non-citizens with urgent health needs.

What Documents Do You Need to Apply?

Having the right documentation ready can help speed up your Medicaid application process. Be sure to gather:

  • Proof of income (e.g., pay stubs, Social Security or VA benefits, pension statements)
  • Social Security numbers and birth dates for all applicants
  • Federal tax return (if filed)
  • Government-issued ID or proof of citizenship (birth certificate, passport, driver’s license)
  • Current health insurance information
  • Proof of Pennsylvania residency (e.g., utility bill, lease agreement)
  • Asset documentation (bank account statements, insurance policies, vehicle registrations)
  • Immigration documents (if applicable)

 

How to Apply for Medicaid in Pennsylvania: 4 Easy Ways

There are several convenient ways to apply for Medicaid in PA:

  1. Apply Online

The fastest and easiest way to apply is through the COMPASS website—Pennsylvania’s online benefits portal. You can:

  • Complete and submit your application
  • Upload required documents
  • Track your application status
  1. Apply by Phone

Call the Health Care Coverage Consumer Service Center at 1-866-550-4355 to get help and apply over the phone.

  1. Apply by Mail or Fax

Download a paper application from the DHS website and send it to your local County Assistance Office (CAO). You can find your local office here.

  1. Apply In Person

Visit your local CAO for face-to-face help and assistance in completing the application.

 

Tips for a Smooth Medicaid Application Process

At CareChoice, we’ve helped many families navigate Medicaid applications. Here are our top tips:

  • Double-check eligibility: Confirm you meet the income, asset, and residency requirements before applying.
  • Prepare your documents: Missing paperwork is one of the top reasons for processing delays.
  • Use COMPASS to stay updated: Track your application, upload missing items, and check for messages.
  • Seek help if needed: Local Area Agencies on Aging, legal aid organizations, and Medicaid planning professionals can offer support.

 

How CareChoice Can Help

Navigating Medicaid—especially when it’s tied to home care services—can be overwhelming. At CareChoice, we’re here to help you understand your options, guide you through the process, and connect you to the care you need.

Whether you’re applying for waiver programs, exploring long-term services and supports (LTSS), or simply have questions about Medicaid eligibility for home care, our team is ready to assist.

Applying for Medicaid in Pennsylvania is a vital step toward accessing the healthcare and home care services your family may need. With the right information and support, the process can be straightforward and successful.

Need help with your Medicaid application or want to learn more about in-home care services covered by Medicaid?  We’re happy to help!