55 Pa. Code § 148.11 – Place of application.

(a) A person shall apply for MA at the CAO in the county in which the person has established residence.
1. (1) If inpatient hospital care is being furnished in a Pennsylvania county other than the person’s county of residence, application may be made in that county and forwarded to the CAO in the applicant’s/recipient’s county of residence for a determination of eligibility and disposition.
2. (2) If inpatient hospital care is being furnished to a Pennsylvania resident outside of this Commonwealth, the application may be completed outside of this Commonwealth and forwarded to the CAO in the applicant’s/recipient’s county of residence for a determination of eligibility and disposition.
(b) If a resident in this Commonwealth is institutionalized for other than inpatient hospital care, his county of residence is the county in which the institution is located.