Lots of good advice here. I’ve never been on it myself but from what I’ve gathered, which the expanded medicaid the application process is actually quite easy and doesn’t take super long. Back in the day it used to be a giant booklet.

As far as mental health services go it will of course be highly dependent on where you live. PA is a very “average” state overall in things like public services so my hunch is that we are pretty average in access. I live in a smallish town and access isn’t that bad although you typically do need to travel a bit for a specialist sometimes.