PA 600L - Department of Public Welfare 2026

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  1. Click ‘Get Form’ to open the PA 600L in our editor.
  2. Begin by checking the boxes for the type of assistance you are applying for, such as 'Care in a Facility' or 'Home and Community Waiver Services'.
  3. Fill in your personal information in the unshaded sections, including your name, address, and contact details. Ensure accuracy as this information is crucial for processing your application.
  4. Complete the income and resource sections thoroughly. This includes detailing any assets, income sources, and expenses. Use additional sheets if necessary.
  5. Review all entries for completeness and accuracy before submitting. Attach any required verification documents directly within our platform.
  6. Once completed, submit the form electronically or print it out to mail it to your county assistance office as instructed.

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If you have any questions or concerns about healthcare eligibility or enrollment, please call the Statewide CustomerService Center at 1-877-395-8930 or 215-560-7226 in Philadelphia. You can also visit the DHA COMPASS website or use the myCOMPASS PA app to learn more.
Pennsylvania has one cash assistance program, Temporary Assistance for Needy Families (TANF). To be eligible for cash assistance, your income must be below the cash grant size: $205 a month for a single person, $316 a month for two people, $403 a month for a family of three.
Pennsylvanias Medicaid program, also known as Medical Assistance, provides comprehensive health care coverage for vulnerable populations and people with limited incomes.
Please fill out the below form or contact us at 1-844-626-6813 (TTY 711). Once your inquiry is reviewed, a PA Health and Wellness representative may contact you regarding your inquiry.
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

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