How To Apply For Medical Assistance (MA)

Help! My child was just diagnosed with Autism! What do I do first?

STEP 1: Gather all required paperwork

Once your child is diagnosed, you should immediately apply for Medical Assistance (MA) to help cover therapy costs. The MA application process can be difficult and confusing for parents and caregivers. For this reason, we've created this step-by-step guide to make the application process easier.

STEP 2: Review the PH-95 Guide

STEP 3: Submit Application for MA

STEP 4: Get an SSI eligibility determination

Here is a list of paperwork you will need to complete your MA application. Make copies of:

These resources clarify the steps, required paperwork, and overview of getting medical assistance for a child with a disability, behavioral disorder, or Autism Spectrum Disorder under the State of Pennsylvania PH-95 category.

You can apply for Medical Assistance (MA) using any of the following methods:

• Online at COMPASS: www.compass.state.pa.us

• By phone: (866) 550-4355 (TTY 800-451-5886)

• By certified mail using the paper application

• In person at your local County Assistance Office

If you have additional questions about Medical Assistance, or if your child’s application is denied, call the Pennsylvania Health Law Project’s Helpline at: (800) 274-3258 for free legal help.

What if I need more help?

• The child’s social security card

• The child’s birth certificate

• For non-citizens, proof of immigration status

• Proof of address

• Documentation of income in the child’s name

• Pay stubs or other proof of parental income

• Documentation of the diagnosis

• Health insurance policy numbers

• Car insurance policy number

• Citizenship documentation

SSI (Supplemental Security Income) is a program administered by Social Security that provides a monthly payment plus automatic Medical Assistance coverage to persons who meet Social Security’s disability criteria and have low incomes and assets. The PH-95 Guide in Step 2 explains this further.

The most straightforward method is to call Social Security at: (800) 772-1213