Eligibility


General Eligibility Requirements

You must meet income, resource (in many cases), and other eligibility requirements in order to be eligible for Medical Assistance (Medicaid). Eligible members may include:

  • Adults age 19-64 with incomes at or below 133% of the Federal Income Poverty Guidelines (FPIG)
  • Individuals aged 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 - 64, limited income or special circumstances (Identified for Medical Assistance purposes as GA-related) such as:
    • Under-going drug and alcohol treatment
    • Victims of domestic violence
    • Caring for a child or disabled person
    • Special Medical Assistance conditions

Ready to Apply?

You must be eligible for Medical Assistance before becoming a Gateway member. To see if you are eligible visit the Commonwealth of Pennsylvania Application for Social Services (COMPASS).

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