Medicaid assistance
Medicaid Information

Understanding Medicaid
in Pennsylvania

Learn about your options for Medicaid coverage and how to apply for the benefits you deserve.

Getting Started

A Few Ways You Can Apply for Medicaid

1

Online via COMPASS

Pennsylvania's online system for applying to health and human service programs.

Create an account and complete your Medicaid application online at your convenience.

COMPASS Portal
2

Local County Assistance Office

Your nearby County Assistance Office can help with Medicaid applications.

They guide you through the application process and answer questions in person.

Find Your Local Office
3

Medicaid Helpline

Questions about Medicaid? Simply give them a call! We provided the number below.

They'll give you clear answers and help you know what steps to take.

1-866-550-4355
Eligibility information
2026 Guidelines

Updated Medicaid Eligibility Criteria for 2026 in PA

Institutional / Nursing Home Medicaid

Single:

Income up to $2,982/month; Assets up to $2,000

Married (both applying):

Income up to $5,964/month; Assets up to $4,000

Married (one applying):

Applicant income up to $2,982/month; Applicant assets up to $2,000; Non-applicant assets up to $162,660

Medicaid Waivers / Home & Community Based Services

Single:

Income up to $2,982/month; Assets up to $2,000

Married (both applying):

Income up to $5,964/month; Assets up to $4,000

Married (one applying):

Applicant income up to $2,982/month; Applicant assets up to $2,000; Non-applicant assets up to $162,660

Regular Medicaid / Aged, Blind & Disabled

Single:

Income up to $1,014/month; Assets up to $2,000

Married:

Income up to $1,521/month; Assets up to $3,000

For a more in-depth look at these income and asset limits:

Medicaid Planning Assistance
Your Key to Care

Do You Have This Medicaid Card?

Having a Pennsylvania Medicaid card is your key to a wide range of healthcare services. It's more than just a piece of plastic; it's your passport to quality healthcare.

If you don't have one yet, don't worry. Applying for Medicaid is easier than you think, and we're here to guide you through the process.

Pennsylvania Medicaid Card
Financial eligibility
Payment Options

Financial Eligibility: Medicaid, Medicare & Insurance

We accept Medicaid, workers compensation insurance, long-term care insurance, and private pay clients.

Medicaid billing is done directly through us, and we handle all the paperwork for you.

The amount of Medicaid coverage will depend on your personal evaluation through the Pennsylvania IEB.

About HCBS Waivers

Pennsylvania offers several HCBS waivers under Medicaid, each designed to support individuals with specific needs. Learn about waivers like the Aging Waiver, Attendant Care Waiver, and the Independence Waiver, which provide various services including personal care, respite care, and home modifications.

Personalized Care

Tailoring Medicaid Services to Individual Needs

Customizing Care Plans

Discover how we tailor Medicaid-funded care plans to each individual's needs, focusing on creating a balanced approach to personal care, household assistance, and companionship.

Integrating Technology in Care

Learn about the integration of assistive technology in our care plans, funded through Medicaid, enhancing safety and independence at home.

Transitional Care Services

Explore transitional care services for those moving from a hospital setting back home, ensuring a smooth and supported transition with Medicaid-funded services.

Helpful Resources

Essential Tips for a Successful Medicaid Application

Empowering Your Medicaid Journey with Useful Insights

Navigating the Medicaid application process can be complex, but understanding a few key aspects can make a significant difference.

Familiarize yourself with Pennsylvania's specific Medicaid requirements
Understand the importance of accurate and complete documentation
Stay updated with Medicaid's changing policies
Contact the Office of Long-Term Living (OLTL) for waiver program questions
Consult Pennsylvania's Department of Human Services website for current information
Researching Medicaid information

Ready to Start Your Medicaid Journey?

Our team is here to help you navigate the process and determine your eligibility.

For medical emergencies, please call 911 immediately.