PA Medical Assistance

Payments

Pennsylvania Medical Assistance, Fee-for-Service Program (ACCESS) pays for health care services for eligible individuals. You may qualify based on your state’s requirements, income, and family size.


Administration

PA Medical Assistance, Fee-for-Service Program (ACCESS) is administered by states, according to federal requirements and provides medical coverage to adults, children, pregnant women, parents of eligible children, people with disabilities, and elderly individuals needing nursing home care.

Coverage

PA Medical Assistance, Fee-for-Service Program (ACCESS) covers both your doctor and hospital visits and stays, along with short and long-term nursing home care/home health care. Some MA plans cover your care directly, while others use private insurance companies to provide MA coverage.

Accepted Fee-for-Service Program (ACCESS) plans

Chartwell Specialty Pharmacy accepts the following PA Medical Assistance, Fee-for-Service Program (ACCESS) plans in Pennsylvania:


UPMC For You
Gateway Health Plan
Health Plan Partners
Pennsylvania State Medicaid

If you are a PA Medical Assistance, Fee-for-Service Program (ACCESS) provider or patient, please call toll-free 833-710-0211. Local MA #: 412-438-5000.


How to Apply

You can apply for PA Medical Assistance, Fee-for-Service Program (ACCESS) through the Health Insurance Marketplace or through the Department of Human Services website: Health Care/Medical Assistance.

For general Medicaid questions, visit dhs.pa.gov, call PA Medical Assistance at 1-800-692-7462 or download the new Chartwell DHS Specialty Pharmacy Drug Program brochure here.

Other helpful resources can also be found on the Department of Human Services website here.