Medical Assistance (Medicaid) Financial Eligibility Application for ...
Page 1 PA 600 L (AS) 1/20 Medical Assistance (Medicaid) Financial Eligibility Application for Long Term Care, Supports and Services You can also apply online at: www.compass.state.pa.us. • Please read the entire form. • Print the requested information in the unshaded sections. • If you need help, another person can help you or you can get ................
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