Pennsylvania Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Pennsylvania Medicaid help and resources to assist in your search.
topics: Pennsylvania Medicaid: Pennsylvania Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Pennsylvania; Medicaid Assistance information; PA; definition Medicaid Pennsylvania: Pennsylvania Medicaid Eligibility: Applying for Pennsylvania Medicaid: Medicaid: Health Programs for Children: Pennsylvania CHIP:
Topic links:
A definition of Medicaid in Pennsylvania*
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Medical Assistance (MA), also referred to sometimes as Medicaid, provides payment for health care services on behalf of eligible low-income individuals with limited income and high medical expenses.
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*source: Pennsylvania Department of Public Welfare, Harrisburg PA 17105-2675
In Pennsylvania, Medical Assistance is administered by the Department of Public Welfare (DPW) and county assistance offices conduct eligibility determinations and recertifications.
The Pennsylvania State Childrens Health Insurance Program, or CHIP:
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CHIP is short for the Children's Health Insurance Program - Pennsylvania's program to provide health insurance to all uninsured children and teens who are not eligible for or enrolled in Medical Assistance. There are a lot of reasons kids might not have health insurance - maybe their parents lost a job, don't have health insurance at work or maybe it just costs too much. Whatever the reason, CHIP may be able to help
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The Pennsylvania Cover All Kids program:
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Cover All Kids is the initiative that lead to the expansion of the CHIP program. Now, all uninsured children and teens in the commonwealth who are not eligible for Medical Assistance have access to affordable, comprehensive health-care coverage.
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source: Office of Children's Health Insurance Program, Pennsylvania Insurance Department , Harrisburg, PA 17120
Note: You will need the Adobe® Reader® software to open and read some of these publications.
Get it from Adobe®Medicaid in Pennsylvania: How It Works; An Introduction to Pennsylvania Medicaid
- web page:
Medical Assistance Options
source:Pennsylvania Department of Public Welfare
languages: English, Spanish
from the brochure:
"The Medical Assistance (MA) program, which is sometimes also called Medicaid, is a joint state/federal program that pays for health care services for about 1.9 million Pennsylvania residents. Depending upon your eligibility category, covered services may include: physician and clinic visits; inpatient hospital care; home health care; medical supplies and equipment; nursing facility care; inpatient and outpatient psychiatric and drug and alcohol services; prescription drugs; dental and other medically necessary services...
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- also from Pennsylvania Department of Public Welfare:
web page:
Medical Assistance Options: Physical Health
languages: English
from the web page: "HealthChoices
For those in a county covered by HealthChoices, you have various options for treatment. For physical health you will always be given a choice of two to three Managed Care Organizations (MCO) to join.
..."
- brochure:
The Basics of Medical Assistance in Pennsylvania
source:Pennsylvania Medicaid Policy Center (PMPC)
file size: 5 pg.; languages: English
from the brochure:
"This fact sheet introduces the Pennsylvania Medical Assistance program by describing its basic structure, who receives benefits and what those benefits are and how enrollment and spending has
changed over time. It concludes with a discussion of current policy issues and challenges facing the Medical
Assistance program...
"
- brochure:
The Medicaid Program: A Brief Overview
source:AARP Policy and Research
file size: 4 pg.; languages: English
from the brochure:
"Within broad federal guidelines, states have the flexibility to design and manage their Medicaid programs... Medicaid eligibility is limited to individuals who fall into specified categories....
"
- brochure:
Guide to Finding
Health Insurance Coverage
source:CoverTheUninsured.org
file size: 9 pg.; languages: English
from the brochure:
"...there are programs that provide health insurance to some people who cannot afford to buy
it on their own. You or your family members may qualify, even if you work. However, these programs have income and asset limits. In Pennsylvania, the main programs are Medicaid and Pennsylvania CHIP. In addition, Pennsylvania runs a low-cost health insurance plan called AdultBasic...
"
- brochure:
Facts About Pennsylvanias Uninsured and the Difference
Health Coverage Makes
source:The Hospital & Healthsystem Association of Pennsylvania
file size: 4 pg.; languages: English
from the brochure:
"The majority of Pennsylvanians under the age of 65 have private health insurance as a work benefit (64%). For millions of low]income Pennsylvanians who do not have job based coverage offered to them or cannot afford other private insurance, state insurance programs like Medicaid and the Children's
Health Insurance Program (CHIP) provide coverage...
"
- also from The Hospital & Healthsystem Association of Pennsylvania:
brochure:
Facts About Medicaid in Pennsylvania
languages: English
4 pages; from the brochure: "Medicaid is funded by both the federal and state government, and provides safety net health care to the elderly, the disabled, low income children, and families who are eligible financially and have no insurance. The Pennsylvania Medicaid program is called Medical Assistance..."
- brochure:
Medicaid At-a-Glance
2005
source:Centers for Medicare & Medicaid Services
file size: 12 pg. languages: English
A brief explanation of the Medicaid program.
Pennsylvania Medicaid Eligibility, How to get Medicaid in Pennsylvania
- web page:
Medical Assistance General Eligibility Requirements
source:Pennsylvania Department of Public Welfare
languages: English
from the web page: "You must meet income, resource (in most cases), and other eligibility requirements in order to be eligible for Medical Assistance. These categories are grouped by:
Individuals who are aged (age 65 and older), blind and disabled. (Identified for Medical Assistance purposes as SSI-related)
Families with children under age 21. (Identified for Medical Assistance purposes as TANF-related)
Single and married individuals with a temporary disability, age 59 through 64, limited income or special circumstances (Identified for Medical Assistance purposes as GA-related):
Under-going drug and alcohol treatment
Victim of domestic violence
Caring for a child or disabled person
Special Medical Assistance conditions
"
- also from Pennsylvania Department of Public Welfare:
web page:
Healthy Beginnings Income Requirements
languages: English
from the web page: "Pregnant women and children up to age one: family income may not exceed 185 percent of the Federal Poverty Income Guidelines (FPIG)
*When determining which income eligibility limit applies to a pregnant woman, household size is increased by the number of unborn children. Example: If a woman verifies she is pregnant with twins, then she counts as three persons.
Children-Ages one through five: family income may not exceed 133 percent of the Federal Poverty Income Guidelines
Children-Ages six through 18: family income may not exceed 100 percent of the Federal Poverty Income Guidelines
..."
- web page:
Medical Assistance Citizenship FAQ
languages: English
from the web page: "Documentation of Citizenship for Medical Assistance Recipients and Applicants Who Declare they are U.S. Citizens... Frequently Asked Questions and Answers..."
- web page:
Key Medicaid Information for Pennsylvania
source:Elder Law Answers
"Explains important basics about Pennsylvania Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..
"
- brochure:
The Consumers Guide to Medicaid Planning and Division of Assets
source:Clinkscales Elder Law Practice
from the brochure:
"
"Do You Qualify For Financial Assistance For Nursing Home Care?...
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- web page:
CHIP Eligibility Requirements (Pennsylvania's Children's Health Insurance Program)
source:Pennsylvania Insurance Department
languages: English
from the web page:
"The following factors are considered for a child's eligibility for CHIP: Must not be eligible for Medicaid or have any other health insurance; Must be under age 19; Must be a U.S. citizen or lawful alien; The family's income is below the following levels...
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Applying for Pennsylvania Medicaid
- web page:
How to Apply for Medical Assistance
source:Pennsylvania Department of Public Welfare
languages: English
from the web page: "You can apply for and renew your benefits from the comfort of your home using COMPASS, the online resource for cash assistance, Food Stamps, help with child care, health care coverage, home heating assistance (LIHEAP), school meals, SelectPlan for Women and long-term living services..."
Other Health Care Programs in Pennsylvania; Pennsylvania adultBasic
- web page:
adultBasic - health insurance for uninsured Pennsylvanians between 19 and 65
source:Pennsylvania Insurance Department
languages: English
from the web page:
"The program, called adultBasic, was designed to provide health insurance for adults meeting certain eligibility requirements and who do not have healthcare coverage. It is administered by the Pennsylvania Insurance Department...
"
- also from Pennsylvania Insurance Department:
web page:
Am I eligible?
languages: English
from the web page:
"To be eligible for adultBasic, there are certain requirements that you need to meet...
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- web page:
How do I apply?
languages: English
from the web page:
"Applying for the program is simple and you have a variety of options...
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- web page:
Healthy Horizons
source:Pennsylvania Department of Aging
languages: English
from the web page:
"Healthy Horizons is a medical assistance program that ensures adequate health care for older and disabled Pennsylvanians. ...
"
Children's Medicaid: Health Programs for Children: Pennsylvania CHIP:
- web page:
Eligibility & Requirements
source:CHIP -Pennsylvania's Children's Health Insurance Program
languages: English, Spanish
from the web page:
"How do I know if my child qualifies?* Based on your family size and income, your child or teen may be eligible if he or she meets the following requirements:Under 19 years of age; A U.S. Citizen, U.S. National or Qualified Alien; A resident of Pennsylvania; Uninsured and not eligible for Medical Assistance... You can also review the complete CHIP guidelines to learn about all aspects of the program...
"
- also from CHIP -Pennsylvania's Children's Health Insurance Program:
web page:
Find out which health insurance companies offer CHIP in your county.
languages: English, Spanish
from the web page:
"In many counties, there are several health insurance companies that offer CHIP... To find out which insurance companies offer CHIP in your area, select your county from the list or map below....
"
- web page:
Apply & Renew (Pennsylvania CHIP )
languages: English, Spanish
from the web page:
"Applying for CHIP is easy and can be done in a variety of ways online, phone or mail; whatever you feel most comfortable with. Before you start the application process, there are some important pieces of information you should have handy....
"
- web page:
Integrated Children's Services Plan
source:Pennsylvania - Department of Public Welfare
languages: English, Spanish
from the web page:
"The Department of Public Welfare is taking a comprehensive approach to serving children, birth to 21 years of age, through programs that focus on long-term prevention, early intervention and services that support family stability, child safety, community protection and healthy child development. This comprehensive approach began in June of 2004 with the development of the Integrated Childrens Services Plan...
"
- web page:
CHIP of Pennsylvania - Benefits Handbook
source:Independence Blue Cross.
languages: English, Spanish
from the web page:
"Independence Blue Cross & Pennsylvania Blue Shield Caring Foundation For Children: determines eligibility for CHIP; provides health insurance benefits from Keystone Health Plan East for the children enrolled in CHIP; provides dental benefits from Pennsylvania Blue Shield for the children enrolled in CHIP; subsidizes a portion of the parents premium for Low Cost CHIP ...
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- also from Independence Blue Cross:
web page:
The Keystone Plan
languages: English, Spanish
from the web page:
"How to get basic health care and how to see a specialist...
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- brochure or publication:
Pennsylvania MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"Twenty-eight percent of
Pennsylvanias children are enrolled in Medicaid...
"
- Medicaid brochure:
Pennsyl vanias Childrens Health Insurance Program - Age & Income Guidelines for Eligibility, How You Can Apply
source:PA Senate Republican News
languages: English, Spanish
from the brochure:
"If you are a working parent who cannot afford private health insurance coverage for your children, but you do not qualify for Medical Assistance, you may be eligible for Pennsylvanias Childrens Health Insurance Program (CHIP)....
"
- web page:
Pennsylvania: CHIP Program Name and Type, 200
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
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- web page:
Pennsylvania Public Health Insurance for Children
source:National Center for Children in Poverty
languages: English
from the web page:
"Eligibility Criteria... Benefits... Participants... Spending
...
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- Medicaid brochure:
SCHIP State Snapshots: Pennsylvania CHIP
source:National Academy for State Health Policy
languages: English, Spanish
from the web page:
"Basic Program Facts... Eligibility...
"
- also from National Academy for State Health Policy:
brochure:
The Basics of the Childrens Health Insurance Program (CHIP) in Pennsylvania
6 paghes; languages: English, Spanish
from the web page:
"The Balanced Budget Act of 1997
established the State Childrens Health Insurance Program (SCHIP) as Title XXI of the Social Security Act.1 In Pennsylvania, SCHIP is called the Childrens Health Insurance Program (CHIP). Together with Medicaid, CHIP provides a health insurance safety-net for low income children. This Fact Sheet provides information on the CHIP program in Pennsylvania...
"
Pennsylvania Medicaid Benfits and Coverage: Medicaid Services
- brochure:
Covered Services Under the
Pennsylvania Medicaid Program
source:The Pennsylvania Medicaid Policy Center (PMPC)
1 page; languages: English
from the brochure: "Mandatory Medical Services - As a condition of receiving federal matching funds, states are statutorily required to provide these services that are classified as mandatory:...
"
- also from Pennsylvania Medicaid Policy Center:
brochure:
Medical Assistance Coverage of Pregnant Women and Newborns in Pennsylvania
4 pages; languages: English
from the brochure:
"In
May 2008, about 15 percent of the residents of Pennsylvania1,955,604 totalwere covered by Medical Assistance. In this fact sheet, we examine the importance of Medical Assistance for low-income pregnant women, their newborn children and the hospitals that provide them with medical care...
"
- web page:
Benefits by State: (October 2006)
source:Kaiser Family Foundation
languages: English, Spanish
from the web page:
"Medicaid benefits: Online database
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- brochure or publication:
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Pennsylvania
source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 7 pg.; languages: English
from the brochure:
"As of July 2003, people were 1,883,424 people covered under Pennsylvanias Medicaid/SCHIP programs. There were 1,456,865 enrolled in the Medicaid program and 123,953 enrolled in the separate SCHIP program. In state fiscal year 2001, Pennsylvania spent $7.8 billion to provide Medicaid services....
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Pennsylvania Medicaid Dental Services; Dentist
Pennsylvania Medicaid and Nursing Homes, Assisted Living, Long Term Care
PA: Pennsylvania Medicaid Elgibility: Applications: Benefits: state Medicaid
From The Pennsylvania Long Term Care Care Project, powered byQuickBrochures.com
