Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Pennsylvania?
Last verified October 17, 2026 · All Pennsylvania resources
In Pennsylvania, the income limit is $2,982/month and the asset limit is $2,000 plus a $6,000 resource disregard if income is at or below $2,982. Pennsylvania's 2026 income limit for long-term care is $2,982 a month (300% of the federal benefit rate). People with higher income can still qualify in medically needy categories, where the expected cost of care is subtracted from income. If your income is at or below $2,982, the resource limit is $2,000 plus a $6,000 disregard; if it is above, the limit is $2,400. The county assistance office reviews transfers made in the past 60 months.
| Program | Medical Assistance long-term care: Community HealthChoices (CHC) home and community-based services, LIFE (PACE) and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of the federal benefit rate); people over this limit may qualify as medically needy |
| How income is counted | other: 300% SSI limit, with a medically needy only route that deducts the anticipated cost of care |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 plus a $6,000 resource disregard if income is at or below $2,982 (effectively $8,000); $2,400 if income is above $2,982 |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Pennsylvania Medicaid waivers that pay for home care.
How to apply in Pennsylvania (Pennsylvania Department of Human Services (DHS), Office of Long-Term Living; county assistance offices determine eligibility)
More for Pennsylvania
Medicaid eligibility by state: other states
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