Medical Assistance
Legal Information
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This section of PALawHelp.org has information and resources about Medical Assistance issues in Pennsylvania.
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COMPASS - Apply for Public Benefits and Services from the Commonwealth of Pennsylvania
Pennsylvania residents can apply for a variety of programs offered by the PA Department of Human Services, including public assistance, food stamps, health care coverage, energy assistance and other social service programs at this site Content Detail
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PA Health Insurance Eligibility QuickScreen - PA Health Law Project
This is a screening tool that the PA Health Law Project has designed, based upon the State's eligibility rules, to help you to figure out if you may be eligible for free or low-cost health care coverage. It is not an official determination of eligibility nor an application for coverage. Content Detail
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PA Health Law Project Toll-Free Helpline - Call: 1-800-274-3258
The PA Health Law Project provides free legal services and advocacy to Pennsylvanians having trouble accessing publicly funded health care coverage or services. For assistance, call the PHLP Helpline at 1-800-274-3258 or 1-866-236-6310 TTY or e-mail the PHLP at staff@phlp.org. Information from the PHLP is also available online at www.phlp.org. Read More
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Pennsylvania Offers Health Coverage to Low-Income Families.
This brochure from the Pennsylvania Health Law Project provides information on the Medicaid program, which offers free or low-cost health insurance to children, pregnant women, people 65 and older, and people with disabilities or chronic health problems; and about the CHIP program, which offers coverage to children under age 19 either free or at a low cost. [PDF] Content Detail
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Medical Assistance in PA: Frequently Asked Questions
Answers to frequently asked questions about Medical Assistance from the Pennsylvania Health Law Project. Content Detail
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How to Obtain Mental Health and Drug & Alcohol Services in Pennsylvania
Booklet from the Pennsylvania Health Law Project explaining how to obtain Mental Health Services and Drug & Alcohol Services under various programs in Pennsylvania. [PDF] Content Detail
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How Your Medical Assistance Coverage Will Change When You Get Medicare
Explanation of what happens to your Medical Assistance when you qualify for Medicare from the Pennsylvania Health Law Project. [PDF] Content Detail
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Medical Assistance Copayments - A Factsheet for Consumers
Fact sheet on the law when you cannot afford to pay your medical co-pays for Medical Assistance benefits. Content Detail
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Medical Assistance Eligibility Manual
Intended for health care advocates and the general public, this manual from the Pennsylvania Health Law Project describes eligibility for Pennsylvania’s Medicaid Assistance (or Medicaid) program in plain language. Readers will learn Medicaid coverage “categories” as well as the program’s income and resource counting rules. (PDF) Content Detail
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Medical Assistance for Workers with Disabilities
Information from the Pennsylvania Health Law Project on the MAWD (Medical Assistance for Workers with Disabilities) Program which allows qualified persons to purchase Medical Assistance if their income does not exceed 250% of the Federal Poverty Level. [PDF] Content Detail
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Should I Apply for Medicaid or CHIP?
This chart and accompanying information from the Pennsylvania Health Law Project is intended to help individuals and parents understand Medicaid and CHIP application paths. [PDF] Content Detail
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Biling Issues for Consumers with both Medicare and Medical Assistance
A guide to health care billing issues for Dual Eligible Consumers (eligible for both Medical Assistance and Medicare) from the Pennsylvania Health Law Project. [PDF] Content Detail
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Appealing a Coverage Decision Made by your Medical Assistance Plan
Information from the Pennsylvania Health Law Project on the appealing decisions regarding managed care under PA Medical Assistance. [PDF] Content Detail
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Dual Eligibility in Pennsylvania: What Happens When I Am Newly Eligible for Medicare and Medicaid?
This manual from the Pennsylvania Health Law Project is for advocates and consumers who have Medicare and are also eligible for or enrolled in a Medicaid program. Medicaid in Pennsylvania is called "Medical Assistance" or "MA." Persons with Medicare and Medicaid are frequently referred to a "dual eligibles" due to their being simultaneously eligible for both Medicare and Medicaid. (PDF) Content Detail
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How to Appeal a Welfare Decision
Information from Community Legal Services of Philadelphia for public benefit recipients on how to appeal decisions made by the Department of Public Welfare regarding their benefits. Read More
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