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How to apply Pennsylvania · Pennsylvania Medical Assistance

How to apply for Medicaid in Pennsylvania

The number

Apply online at compass.dhs.pa.gov or call 1-866-550-4355.

Apply for Pennsylvania Medical Assistance

Ways to apply for Pennsylvania Medical Assistance

These are the channels Pennsylvania names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

compass.dhs.pa.gov

In person
County Assistance Office. Find an office
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Documents you'll need

  • Photo ID (state-issued ID or passport)
  • Social Security number for every household member applying
  • Proof of income for the last 30 days (pay stubs, tax return, benefit letter)
  • Proof of US citizenship or lawful presence
  • Proof of address (utility bill, lease, or official mail)
  • For pregnancy: a clinician-signed pregnancy verification
  • For disability category: medical records if applying disability-based

How to apply in Pennsylvania

Use any of the ways to apply listed above. They are the channels Pennsylvania Medical Assistance names on its own pages, read on October 13, 2026.

Documents you'll need: proof of identity (state ID or passport), Social Security numbers for everyone applying, proof of income for the last 30 days (pay stubs, tax return, unemployment award letter), proof of US citizenship or lawful presence, proof of address (utility bill, lease, piece of official mail), and for pregnancy-related Medicaid, a pregnancy verification letter from a clinician. If you do not have every document, apply anyway and send the rest when the agency asks.

Language support: every state Medicaid program must offer interpretation and translation at no cost under Title VI of the Civil Rights Act. Ask for an interpreter when you call or, for written translations, request them in writing. If the state denies reasonable language access, you can file a complaint with the HHS Office for Civil Rights.

How long a decision takes: federal rule 42 CFR 435.912 says the determination may not exceed 45 days for most applicants and 90 days for people who apply on the basis of disability (eCFR). Governor Tom Wolf rolled back Corbett-era Healthy PA work requirements in his first year (2015), fully implementing expansion. Act 117 of 2023 directed the Department of Human Services to pursue a Section 1915(i) State Plan Amendment to add doula services: implementation was expected in 2025.

For Black families

Community enrollment navigators serving Black families in Pennsylvania are the most reliable route if you want someone to sit with you through the application. Federally Qualified Health Centers have certified application counselors on staff and cannot turn you away for inability to pay. Governor Tom Wolf rolled back Corbett-era Healthy PA work requirements in his first year (2015), fully implementing expansion. Act 117 of 2023 directed the Department of Human Services to pursue a Section 1915(i) State Plan Amendment to add doula services: implementation was expected in 2025.

Where to get help in Pennsylvania

  • Federally Qualified Health Centers in Pennsylvania: every FQHC accepts Medicaid, charges on a sliding scale for the uninsured, and has certified application counselors who can help you apply or renew. See our FQHC directory for this state at /clinics/pa/.
  • Medicaid-accepting providers in Pennsylvania: our provider directory lets you filter to providers in this state. See /providers/pa/.
  • State health profile for Pennsylvania: for state-level health outcomes context (maternal mortality, infant mortality, life expectancy, uninsured rate) by race, see /health/pennsylvania/.
  • The application line Pennsylvania Medical Assistance lists on its own pages: 1-866-550-4355. Ask for an interpreter if you need one; language access is required under Title VI of the Civil Rights Act.
  • Find a Navigator: federally funded Navigators help with Medicaid + ACA marketplace applications and are free. Find one via localhelp.healthcare.gov.

References & primary sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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