WebIf you are applying for PAAD or Senior Gold supply the following documents: Proof of age (must show date of birth) Proof of current Social Security disability benefits if over age 18 and under age 65 Proof of principal place of residence, dated within the last 6 months Copy of your Medicare Card WebSLMB Single Married Less than Less than120% FPL $1,214 ($14,568/yr) $1,646 ($19,752/yr) $7,560 $11,340 Enrolled in Medicare ... This publication has been created or produced by the State of Pennsylvania with financial assistance, in whole or in part, through a grant from the Centers for Medicare & Medicaid Services, the Federal Medicare agency.
Applications and Forms - Pennsylvania Department of State
Web10.3.1 The SSA Application . 10.3.2 Using the SSA-1020 . 10.3.3 The State Application . 10.3.4 Agency Responsible for LIS Applications . 20 Coordinating LIS and MSP Applications . 20.1 Screening LIS Applicants for MSP (QMB, SLMB, QI) Eligibility . 20.1.1 Federal Medicare Savings Programs Parameters . 20.1.2 Voluntary Enrollment WebSelect your state to get Medicaid enrollment information. You can also scroll down to find your state’s contact information. Select State ★ STATE MEDICAID ENROLLMENT LINKS ★ Alabama Enrollment ☎ General Questions: 334-242-5000 Alaska Enrollment ☎ Medicaid eligibility: 800-478-7778 ☎ Medicaid coverage or billing: 800-780-9972 is march american red cross month
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES …
WebApplication for Benefits (SNAP, Health Care, Cash Assistance) - PA 600 Application for Medical Assistance for Workers with Disabilities - PA 600WD Medical Assistance (Medical Assistance) Financial Eligibility Application for Long-Term Care Supports and Services - PA 600L Low-Income Home Energy Assistance Program - HSEA 1 WebRead the entire application form including the instructions. Please print your responses on the application. If you need help answering the questions, call your local county … WebUNIVERSAL APPLICATION FOR PAAD, SENIOR GOLD AND OTHER SPECIAL BENEFIT PROGRAMS By filling out the attached application, you may be eligible for benefits … is march a name