Pennsylvania is expanding access to Medicaid coverage! Governor Wolf and his team are here to help you get the health care coverage that you and your family need.
The Governor’s traditional Medicaid expansion plan will alleviate confusion, remove unnecessary red tape, and streamline the system so that people can see a doctor when they are sick and health care professionals have more time to concentrate on providing quality care.
How do I apply?
The fastest way to find out if you qualify for Medicaid is to apply online at COMPASS.state.pa.us.
You may also call our Consumer Service Center at 1-866-550-4355 to apply over the phone.
Paper applications are also available at your local county assistance office.
Under new guidelines you, or someone you live with, may qualify for fast track enrollment for Medical Assistance (Medicaid). Because Pennsylvania expanded the Medicaid program, you could qualify even if you have been told no in the past.
To register, call 1-855-767-1630 from 9am – 5pm Monday through Friday.
What happens after I apply?
1. We review your application.
After you apply, you may receive a letter asking for more information. If you need help getting the information, your caseworker at the county assistance office may be able to help.
It may take a few weeks to finalize your application and notify you about your enrollment.
2. Your application is approved.
If you meet all of the eligibility requirements and are approved, you will receive a letter and ACCESS Medicaid card in the mail. You can use this card right away.
PA Medicaid has a statewide network of health care providers including hospitals, family practice doctors, pharmacies and durable medical equipment companies. You should ask the health care provider if they accept Medicaid before scheduling an appointment.
HealthChoices - Managed Care Plans
Individuals who are eligible for HealthChoices will be asked to enroll in a managed care plan.
Soon after you receive your eligibility notice you will receive a Welcome Packet from PA Enrollment Services that will give you information on how to choose a provider and a health plan.
Once you receive your packet you may also visit www.enrollnow.net or call PA Enrollment Services at 1-800-440-3989 for more information and help with picking a provider and a plan that is right for you.
You may also visit each of the plans’ web sites to learn more about what each plan offers.