PA 600L - Department of Public Welfare 2025

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PA 600 R (AS) 9/18. Benefits Review. This is an application for cash, health care and SNAP benefits. If you need this application in another language or someone to interpret, please contact your local county assistance office. Language assistance will be provided free of charge.
Generally, you can only receive TANF for a total of 5 years during your lifetime, unless are a victim of domestic violence or have other emergency circumstances.
Eligibility The gross monthly income limit for an individual is no more than $1,533 per month. For an elderly or disabled individual, the gross monthly income amount is typically no more than $1,916 per month. Monthly income eligibility limits increase with the size of the family.
Frequently Asked Questions Household SizeGross monthly income (130 percent of poverty)Net monthly income (100 percent of poverty) 1 $1,632 $1,255 2 $2,215 $1,704 3 $2,798 $2,152 4 $3,380 $2,6005 more rows Feb 21, 2025
PA 600L. Medical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services.
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