The Pennsylvania Office of Medical Assistance Programs

The Pennsylvania Office of Medical Assistance Programs (OMAP) is responsible for the administration of medical assistance programs for the Commonwealth of Pennsylvania.

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The Pennsylvania Office of Medical Assistance Programs: Who We Are

The Pennsylvania Office of Medical Assistance Programs (OMAP) is the state agency that administers the Medicaid program and the Children’s health insurance Program (CHIP) in Pennsylvania.

We are part of the Pennsylvania Department of Human Services (DHS), which is the largest state agency in Pennsylvania. DHS and OMAP work together to provide health care coverage to more than 2.8 million Pennsylvanians who are aged, blind or disabled, low-income adults and their children.

Medicaid is a federal and state partnership that provides health care coverage to low-income adults and children, pregnant women, people with disabilities, and senior citizens. In Pennsylvania, Medicaid is known as Medical Assistance (MA).

CHIP is a health insurance program for children under the age of 19 who are not eligible for Medicaid due to income. In Pennsylvania, CHIP is known as CHIPRA.

We also administer several other programs that help low-income Pennsylvanians access quality health care: long-term care services for older adults and people with physical disabilities; behavioral health services for children and adults; and dental services for children and adults enrolled in Medicaid.

The Pennsylvania Office of Medical Assistance Programs: What We Do

The Pennsylvania Office of Medical Assistance Programs (OMAP) provides medical assistance to low-income residents of Pennsylvania. We are part of the Pennsylvania Department of Human Services, and our mission is to provide access to quality health care for all eligible Pennsylvanians.

OMAP offers a variety of medical assistance programs, including Medicaid, CHIP, and the Breast and Cervical Cancer Treatment Program. We also administer the Behavioral Health Choices program, which provides behavioral health services to Medicaid recipients.

In addition to our medical assistance programs, OMAP also administers the Pharmaceutical Assistance Contract for the Elderly (PACE), which provides discounts on prescription drugs for seniors.

The Pennsylvania Office of Medical Assistance Programs: How We Help

The Pennsylvania Office of Medical Assistance Programs (OMAP) is responsible for the administration of the state’s medical assistance program. We work to ensure that eligible Pennsylvanians have access to high-quality, Affordable Health Care

OMAP provides health care coverage to more than 2.8 million Pennsylvanians through the state’s Medical Assistance (MA) and Children’s health insurance (CHIP) programs. We also administer the long-term care program for seniors and people with physical disabilities, as well as a special needs program for children with serious medical conditions.

In addition to providing coverage, OMAP works to ensure that our members have access to the best possible care. We do this by working with health care providers and other partners to improve the quality of care and make sure that our members get the services they need.

The Pennsylvania Office of Medical Assistance Programs: Our Services

The Pennsylvania Office of Medical Assistance Programs offers a wide variety of services to Pennsylvanians in need. We provide medical assistance through our Medicaid and CHIP programs, as well as long-term care services for seniors and people with disabilities. We also offer behavioral health services, including (but not limited to) mental health and substance abuse treatment. Our goal is to provide high-quality, affordable health care to all Pennsylvanians.

The Pennsylvania Office of Medical Assistance Programs: Eligibility

In order to be eligible for the Pennsylvania Office of Medical Assistance Programs, individuals must meet certain income and resource requirements. The following table outlines the maximum monthly income and resource limits for various program types:

-Aged, Blind, or Disabled (ABD) Medicaid
-Basic Medicaid
-Children’s health insurance Program (CHIP)
-Medical Assistance for Employed Persons with Disabilities (MA-EPD)
-Pennsylvania Supplemental Nutrition Assistance Program (SNAP)

Resource limits for each program type are as follows:

-Aged, Blind, or Disabled (ABD) Medicaid: $2,000
-Basic Medicaid: $2,000
-Children’s health insurance Program (CHIP): $5,000
-Medical Assistance for Employed Persons with Disabilities (MA-EPD): $10,000 -Pennsylvania Supplemental Nutrition Assistance Program (SNAP): $2,250

The Pennsylvania Office of Medical Assistance Programs: Applying for Benefits

The Pennsylvania Office of Medical Assistance Programs (OMAP) is responsible for administering the state’s medical assistance ( Medicaid ) program. The program provides health care coverage to low-income individuals and families, including children, pregnant women, parents, seniors and people with disabilities.

In order to be eligible for benefits, applicants must meet certain income and asset criteria. In general, applicants must have an annual income that is at or below 138 percent of the federal poverty level and assets that are below $2,000 for an individual or $3,000 for a family. However, there are some exceptions to these general rules.

To apply for benefits, interested individuals can fill out an application online or print one out from the OMAP website and submit it by mail or in person at their local county assistance office. Once an application has been received, county staff will determine whether the applicant is eligible for benefits and notify them of the decision.

The Pennsylvania Office of Medical Assistance Programs: Renewing Benefits

The Pennsylvania Office of Medical Assistance Programs provides health insurance coverage to low-income residents through the state’s Medicaid program. If you are a recipient of Medicaid benefits, you will need to renew your coverage each year.

You can renew your Medicaid benefits by mail, by phone, or in person at your local county office. You will need to provide proof of your income and family size, as well as any changes in your household situation that have occurred since you last applied for benefits.

If you have any questions about renewing your Medicaid benefits, please contact the Pennsylvania Office of Medical Assistance Programs at 1-800-692-7462.

The Pennsylvania Office of Medical Assistance Programs: Contact Us

The Pennsylvania Office of Medical Assistance Programs (OMAP) is responsible for the administration of the state’s medical assistance (Medicaid) program. Medicaid is a health insurance program for low-income and disabled individuals and families.

If you have questions about Medicaid or need help applying for benefits, please contact us.

We are available Monday through Friday, 8:00 a.m. to 5:00 p.m. EST.

You can reach us by phone at:
· Customer Service: 1-800-692-7462
· Provider Service: 1-800-225-6320
· TTY/Relay Service: 711

Or, you can send us an email at:
· Customer Service: [email protected]
· Provider Service: [email protected]

The Pennsylvania Office of Medical Assistance Programs: FAQs

The Pennsylvania Office of Medical Assistance Programs (OMAP) administer state and federal medical assistance programs, including the Children’s Health Insurance Program (CHIP), to eligible low-income residents of Pennsylvania. We strive to provide quality customer service and promote public awareness of our programs.

This document contains answers to Frequently Asked Questions (FAQs) about our programs. If you have additional questions or need more information, please contact our Customer Service Center at 1-800-692-7462 and select Option 3.

The Pennsylvania Office of Medical Assistance Programs: Resources

The Pennsylvania Office of Medical Assistance Programs (OMAP) offers a variety of resources to help low-income residents with medical needs. The program provides financial assistance to eligible individuals and families to help pay for medical care. It also offers a wide range of other resources, such as information about health care providers and facilities, educational materials, and referrals to other agencies and programs.