Qualifying for Pennsylvania state health insurance (Medical Assistance or Medicaid) requires meeting specific financial, residency, and categorical criteria established by the Department of Human Services. Applicants must be legal residents of Pennsylvania, hold U.S. citizenship or qualified immigration status, and fall within designated household income thresholds relative to the Federal Poverty Level. Expansion rules allow non-elderly adults earning up to 138% of the federal poverty level to qualify, while separate pathways exist for pregnant individuals, children, seniors, and disabled residents.
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