To qualify, you must be at least 16 years of age but less than 65 years of age.
Income: your countable income, after allowable deductions, must be less than 250% of the Federal Poverty Income Guideline.
Disability: you must meet the definition of a disability according to the Social Security Administration.
Employment: you must also be employed and receiving compensation to receive coverage as a Worker with a Disability.
Attach: proof of your income, impairment-related work expenses, resources, Social Security number, address and identification.
Other benefits: if you need cash assistance or SNAP, you must complete a different application.
| Question | Answer |
|---|---|
| Form Name | PA 600 WD |
| Form Length | 16 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 48 min |
| Edition | Rev 3/26 |
| Where to send | Mail the application to your county assistance office (CAO) |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | PA 600 WD, PA 600 WD (AS), MAWD application, Medical Assistance for Workers with Disabilities application |
| Official source | PA 600 WD (Rev 3/26), Pennsylvania Department of Human Services |
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