How to Apply for Medical Assistance
 
Applications for Medical Assistance are available by contacting the Montgomery County Intermediate Unit ACCESS Department at 610-755-9409.
 
In addition, as an approved Community Partner, the Montgomery County Intermediate Unit is available to assist parents in completing the Medical Assistance application process.  Please call 610-755-9409 to arrange a convenient appointment.
 
The following provides some basic information to give you a better idea of the application process and Medical Assistance in general.

Why Medical Assistance?

Medical Assistance has the broadest coverage of medical and mental health services for persons under 21 of any insurance plan.  It covers services rarely covered by employer provided insurance and currently operates without any annual or lifetime caps, which are often imposed by other insurance plans.

Services covered under the medical assistance program may include:

  • Mental Health/Wrap-Around Services
  • In-Home Personal Care Services
  • Diapers
  • Nutritional Supplements
  • Prescriptions
  • In-Home Nursing
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy

Medical Assistance can be a child’s only insurance or it can be secondary to another coverage.  Many families find medical assistance useful to supplement/cover those services and/or equipment that are not covered by a child’s primary insurance.

Will My Child Qualify?

Many children with disabilities/developmental delays will qualify for Medical Assistance, regardless of their parent’s income.  Here are some basic rules:

  • A child can qualify for Medical Assistance even if he/she has other health insurance (although, the other insurance usually needs to be billed first)
  • The income and/or assets of the parents/caregivers does not count in determining eligibility for Medical Assistance, if the child’s condition meets certain disability standards. 

Application Process

The following provides the steps for completing the Application Process for Medical Assistance:

  • Fill out the “Application for Health Care Coverage” – form PA 600CH.  A copy of the form is available by calling the ACCESS Department at 610-755-9409.
  • Assemble Documentation
  • Copy of Child’s Social Security (or receipt from Social Security that an application for a card has been filed)
  • Copy of Child’s Birth Certificate
  • For Non US Citizens, proof of immigration status (your child must have permanent residency status, i.e. a “Green Card, to qualify for Medical Assistance)
  • Proof of Address (Usually a copy of a utility bill will qualify)
  • Copy of any other health insurance for child
  • Verification of any income that the child receives in his/her name (i.e. child support, social security benefits, etc.), as well as, parent/caregiver income information (your two most recent pay stubs should be sufficient).
  • Recent (within one year) medical information from a physician (i.e. psychiatrist, psychologist, neurologist, pediatrician, etc), which includes a diagnosis, prognosis, treatment plan, and any medications.  An IEP alone is not sufficient, although it may be helpful in making the determination of disability.
  • Copy of parent/guardian social security card and driver’s license/photo ID (necessary for verification of US citizenship)
  • Mail your completed application, along with documentation, to:
Montgomery County Assistance Office
Norristown District 1
1931 New Hope Street
Norristown, PA 19401-9987

Or, if you are a Pottstown resident, mail your application to:

Montgomery County Assistance Office
Pottstown Office
24 Robinson Street
Pottstown, PA 19464

  • It usually takes 3-4 weeks for eligibility to be determined.  If you have not heard from the county assistance office after 4 weeks, you can feel free to contact them to find out the status of your application.  Their phone numbers are:
  • Norristown Office:  610-270-3500
  • Pottstown Office:  610-327-4280