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The PH-95 Loophole is the medical assistance available to children and youth with disabilities. Minors who meet the diagnostic requirements, which can include mental health diagnoses, can qualify for assistance no matter their parents' income. If you think your child might be eligible, you can learn more about the qualifying criteria and the PH-95 “loophole” using the resources below. 

Find more information on the PH-95 Medical Assistance Loophole:

https://namimainlinepa.org/how-medical-assistance-for-a-childteen-with-a-serious-mental-illness-autism-addadhd-or-substance-abuse-can-provide-access-to-valuable-services/

 

http://pafamiliesinc.org/understanding-systems/mental-health/mental-health-faq

 

https://www.phlp.org/uploads/attachments/ck2xjueg002dg5qu8w454mpbf-ph-95-guide-update-april-2019.pdf

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https://www.ssa.gov/disability/professionals/bluebook/112.00-MentalDisorders-Childhood.htm

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