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ENTS INVLOVED: XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX DEPARTMENT REPRESENTATIVE DR. MARK BATES CASE # XXXXXXXXXX DATE ADVERSE ACTION MAILED 1/16/2001 DATE SCHEDULING NOTICE MAILED BHA DOCKET NUMBERS/ISSUE CODES W02-0580/922 DATE APPPEAL RECEIVED DATE APPEAL RECEIVED POSTMARKED AT DPW AT BHA 2/16/2001 1/15/2002 RESCHEDULED TO 3/19/2004 HEARING LOCATION PROVIDER S WITNESS (ES) XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX DEPARTMENT WITNESS(ES) XXXXXXXXXX XXXXXXXXXX.

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How can I check the status of my application? If you applied for CHIP online, please visit the COMPASS website or the myCOMPASS PA mobile app to check the status of your application.

When you qualify for Medicaid, you will be provided with a Pennsylvania Medicaid card. It provides you with access to medical assistance benefits and acts as proof of health insurance. In addition, if you are eligible for SNAP or cash assistance, the card can also be used for those purposes.

Medical Assistance (MA), also known as Medicaid, pays for health care services for eligible individuals.

➢ Enclosed is your PA ACCESS Card, a permanent, yellow plastic card issued to each individual who is eligible for Medicaid.

The number to call is 800-766-5387 .

With a range of program offices, the department administers various services including eligibility determination, foster care, early childhood development, services for individuals with disabilities, long-term living programs, and management of healthcare programs.

If you receive Medicare and get your prescription drugs through Medical Assistance (the ACCESS card), you will be required to enroll in a Part D plan. Other Medicare consumers should review their prescription coverage to decide if they want to enroll in Medicare part D.

Recipients who are eligible for medical benefits only will receive the yellow ACCESS card. Recipient information is listed on the front of the card and includes the full name of the recipient, a 10-digit recipient number, and a 2-digit card issue number.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232