http://services.dpw.state.pa.us/oimpolicymanuals/ma/PA_1671-SG.pdf WebConsumer Form used for reimbursement for costs incurred for mileage, parking and toll when a private vehicle is used for transportation to medical appointments. Grantee completes within 48 hours of an incident involving the consumer and/or other individuals. Grantee issues to consumer when services are determined, changed, denied, …

MEDICAL ASSISTANCE BULLETIN - dhs.pa.gov

WebPennsylvania Department of Human Services EMERGENCY MEDICAL CONDITION INFORMATION ELIGIBILITY FORM Certain non-citizens may be eligible to receive Medical Assistance (MA) to cover medical expenses necessary to treat an emergency medical condition. For purposes of MA eligibility for certain non-citizens, an emergency medical … WebJun 2, 2024 · If you require any further information, call the Pennsylvania Department of Human Services (DHS) Helpline at the phone numbers provided below. Fax – 1 (866) 327-0191. Fee-for-Service Program Pharmacy Call Center # – 1 (800) 537-8862. Pennsylvania DHS Helpline # – 1 (800) 692-7462. Preferred Drug List. Specific Drug Prior … hunter brown sister wives college

Medical Assistance in Pennsylvania: Income Eligibility Guidelines

WebHow to apply for Medicaid in Pennsylvania: Online: www.compass.state.pa.us. By Phone: 1-866-550-4355. In-Person: See listing of local County Assistance Offices (CAOs) By Mail: Send the completed application form, PA 600 HC, … WebApplication for Benefits PA 600P 8/12 PENNSYLVANIA This is an application for cash, Medical Assistance and Food Stamp benefits. If you need this application in another language or someone to interpret, please contact your local county assistance office. Language assistance will be provided free of charge. WebPennsylvania Department of Human Services EMERGENCY MEDICAL CONDITION INFORMATION ELIGIBILITY FORM Certain non-citizens may be eligible to receive … marty\u0027s homes