Program

Medical Assistance (Medicaid)

Verified · October 23, 2026 Deadline soon — check dates

Organization

Pennsylvania Department of Human Services (PA DHS)

Who qualifies

Pennsylvania residents who meet income and other requirements. Eligibility based on Modified Adjusted Gross Income (MAGI) covers children age 18 and under, pregnant women, parents and caretakers of children under 21, adults ages 19-64, and family planning services. Non-MAGI eligibility covers individuals age 65+, individuals who are blind or have disabilities, Medical Assistance for Workers with Disabilities (MAWD), long-term care, and home and community-based services. Medicaid is available to U.S. citizens, refugees, and lawfully admitted non-citizens; other non-citizens may be eligible for limited benefits for an emergency medical condition.

Income limits

Expansion adults (MAGI), annual income limits effective January 13, 2026 (pa.gov Medicaid table; dollars are the official figures, equal to 138% of the 2026 Federal Poverty Income Guidelines by arithmetic per RULES_LOCK): HH1 $22,025/yr; HH2 $29,864/yr; HH3 $37,702/yr; HH4 $45,540/yr; HH5 $53,379/yr; HH6 $61,217/yr; HH7 $69,056/yr; HH8 $76,894/yr; +$7,839 per additional person. Per RULES_LOCK: pregnant women and infants under 1 are covered up to 215% FPIG (HH1 $34,314/yr; HH4 $5,913/mo); children ages 1-5 up to 157% FPIG; children ages 6 to under 19 up to 133% FPIG.

Documents needed

Information that verifies your identity, your income, whether you are a U.S. citizen or legal resident, your Social Security Number, and information about anyone else who lives in your household. Identity can be verified by a PA driver's license, PA identification card, or government-issued passport; a Social Security Number must be provided for each person applying (with some exceptions).

How to apply

Apply online through COMPASS; apply by telephone through the Consumer Service Center for Health Care Coverage at 1-866-550-4355; apply by mail by sending a paper application to your local County Assistance Office (CAO); or apply in person at your CAO. Customer Service Center: 1-877-395-8930, or 215-560-7226 in Philadelphia.

Last verified

October 23, 2026

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