Pennsylvania

If you have Medicaid in Pennsylvania and want to change your insurance carrier, you can do it on line or over the phone. For more information, please visit this website.

Enroll | PA Enrollment Services (enrollnow.net)

Alternatively, you can call 1-800-440-3989

To enroll in Medicaid in Pennsylvania, use the Compass website. For a reference guide on the Compass application, click here.

Ohio

If you have Medicaid in Ohio and want to change your insurance carrier, you can do it on line or over the phone. For more information, please visit this website.

Ohio Department of Medicaid

Alternatively, you can call 1-800-324-8680

Virginia

If you have Medicaid in Virginia and want to change your insurance carrier, you can do it on line or over the phone. For more information, please visit this website.

Cardinal Care, Virginia’s Medicaid Program

Alternatively, you can call 1-833-522-5582

If you are not on Medicare, you can qualify for Medicaid in Pennsylvania and most other states if your household income is below 138% of federal poverty level (FPL). Here is a chart for FPL that will be in effect for the 2023 plan year:

This chart is from California, but all the information except for Medi-Cal is relevant across the country.

For people with Medicare, the income requirements for Medicaid are more stringent, plus there are asset limits as well. Moreover, there are different categories of Medicaid for people who also have Medicare.

	2022
Family Size	1	2
PH  100% FPIG*	1132	1525
PH resource limit	2000	3000	NMP plus Medicare A, B, & D premiums, deductibles and copays
PG – QMB 100% FPIG	1132	1525	Qualified Medicare Beneficiaries Cost Sharing
PG resource limit	8400	12600	Covers A, B, D, deductibles and copays
TA 65/TJ 65 – SLMB 120% FPIG*	1359	1830	Select Low Income Beneficiaries	Part B only/No ACCESS Card
resource limit	8400	12600	?? Covers A, B, D, deductibles and copays
TA 67/TJ 67 – QI 135% FPIG*	1528	2059	Qualified Individuals
QI resource	8400	12600	No diff. in coverage between SLMB & Q-I
PW/PI – MAWD 250% FPIG*	2831	3814	Income test uses both husband and wife’s income
MAWD Resource	10000	10000	Premium is 5% of individual’s net income only

Medical Assistance Eligibility Manual

Is there a reason why I would want to avoid Medicaid?

Estate Recovery

State Medicaid programs must recover certain Medicaid benefits paid on behalf of a Medicaid enrollee. For individuals age 55 or older, states are required to seek recovery of payments from the individual’s estate for nursing facility services, home and community-based services, and related hospital and prescription drug services. States have the option to recover payments for all other Medicaid services provided to these individuals, except Medicare cost-sharing paid on behalf of Medicare Savings Program beneficiaries.

Under certain conditions, money remaining in a trust after a Medicaid enrollee has passed away may be used to reimburse Medicaid. States may not recover from the estate of a deceased Medicaid enrollee who is survived by a spouse, child under age 21, or blind or disabled child of any age. States are also required to establish procedures for waiving estate recovery when recovery would cause an undue hardship.

States may impose liens for Medicaid benefits incorrectly paid pursuant to a court judgment. States may also impose liens on real property during the lifetime of a Medicaid enrollee who is permanently institutionalized, except when one of the following individuals resides in the home: the spouse, child under age 21, blind or disabled child of any age, or sibling who has an equity interest in the home. The states must remove the lien when the Medicaid enrollee is discharged from the facility and returns home. (from Estate Recovery | Medicaid)

Does Medicaid adversely affect immigration prospects?

Currently it does not. But it has in the recent past and it may in the future. For more information, refer to the article below.

Public Charge Ground of Inadmissibility final rule