Each state has its own set of regulations regarding Medicaid (or Medical Assistance) qualifications. As a result of health care reform, many more people have access to public health care. The criteria for those who qualify for public health programs like Medicaid has expanded greatly in the past few years. Now, those who had to go without insurance have the option of using a public plan instead of spending massive amounts of money due to no health coverage. Medicaid used to only be for those with a very low income – based upon the Federal Poverty Level (FPL), and now the income limit has been increased to up to 400% over Federal Poverty Level in certain areas.


 

This enables more Americans to receive health care when they need it instead of going without. The following is a current guide to the eligibility requirements for Medicaid in each state. Keep in mind, there are multiple medical assistance programs in certain states, even more than one type of Medicaid. The Children’s Health Insurance Program (CHIP) typically has a higher income limit than Medicaid in most states, so do not be discouraged if your income level is not listed below. The following applies to traditional Medicaid only – for information on CHIP and other types of programs, refer to the links listed with each state.

 

Alabama

  • Resident of Alabama
  • U.S. citizen or legal resident
  • Pregnant women and children under age 6 with a family income up to 133% of federal poverty level
  • Newborn children whose mothers are eligible for Medicaid
  • Children between ages 6-18 with a family income up to 100% of federal poverty level
  • Children receiving foster care from the Department of Human Resources
  • Low income families with at least one child under age 19 living at home who meet the qualifications in the state’s AFDC plan
  • Individuals who receive SSI (supplemental security income) deemed eligible by the Social Security Administration
  • Persons who have been institutionalized with income and resources below a certain level
  • Low income recipients of Medicare
  • Women under 65 who need breast or cervical cancer treatment, as referred by the National Breast and Cervical Cancer Early Detection Program
  • Individuals who receive adoption assistance
  • Persons who qualify for optional waiver programs, such as State of Alabama Independent Living (SAIL), developmentally challenged, elderly & disabled, technology assisted, and HIV/AIDS
  • Individuals who qualify for optional programs, such as family planning

For more information, refer to the State of Alabama Medicaid site.

Alaska

  • Resident of Alaska
  • U.S. citizen or legal resident
  • Elderly, blind, and disabled individuals with a single monthly income of no more than $1,252 (109% over federal poverty level), and dual income of no more than $1,854 (120% over federal poverty level) per household
  • Pregnant women with an income 175% over federal poverty level
  • Working adults with annual income over 81% of federal poverty level
  • SSI beneficiaries
  • Medically needy
  • Children
  • Elderly individuals in nursing homes

For more information, visit the State of Alaska Health & Social Services site.

Arizona (AHCCCS)

  • Residents of Arizona
  • U.S. citizen or legal resident
  • Children under the age of 1 living alone with a monthly household income of $1,304, living with one parent with a monthly income of $1,766, or 2 parents with $2,228 per month
  • Children age 1 – 5 living alone with a monthly income of $1,238, living with one parent who makes $1,677 per month, or two parents who make $2,116 per month
  • Children between ages 6 – 18 living alone with a monthly income of $931, living with one parent or spouse who make $1,261, or living with two parents who make $1,591 per month
  • Pregnant women living alone with a monthly income of $1,892 or less, living with 1 parent or spouse with a $2,387 monthly income, or living with two parents who make $2,882 monthly
  • Individuals living alone with a monthly income of $931 or less
  • Individuals living with a spouse who have a monthly income of $1,261
  • Families of 3 with a monthly income of $1,591
  • Families of 4 with a monthly income of $1,921
  • Elderly, blind or disabled individuals with SSI benefits
  • Elderly, blind or disabled individuals with a monthly income of $2,094
  • Some Medicare recipients with a low income

For more information on AHCCCS, visit their official site.

Arkansas

  • Residents of Arkansas
  • U.S. citizens or legal residents
  • Elderly, blind and disabled individuals who receive SSI benefits with a resource limit of $2,000 for individuals and $3,000 for couples
  • Medicare recipients with a resource limit of $6,600 for individuals and $9,910 for couples
  • Elderly individuals in an assisted living facility with an income of $2,022 per month
  • Children under age 6 with an income of 133% over FPL
  • Children age 6 and up with an family income of 100% over FPL
  • Pregnant women with an income 200% of FPL
  • Individuals seeking family planning services with 200% of FPL
  • Women treating breast and cervical cancer who earn 200% of FPL
  • Individuals with tuberculosis with a monthly income of $1,805 or less

For more information, refer to the State of Arkansas Medicaid site.

California (Medi-Cal)

  • Residents of California
  • U.S. citizens or legal residents
  • Individuals receiving cash assistance through SSI/SSP, Refugee Assistance, Foster Care of Adoption Assistance Program, or CalWORKs (California Work Opportunity and Responsibility to Kids , formerly AFDC)
  • Elderly (over age 65)
  • Disabled
  • Blind
  • Under 21
  • Pregnant
  • Women who have breast or cervical cancer
  • Living in a skilled nursing or intermediate care center
  • Parent or caretaker relative of a child under 21 and the child’s parent is deceased or does not live with the child; the child’s parent is incapacitated; the child’s parent who is the primary source of income in unemployed or underemployed

For more information on Medi-Cal, visit the CA Department of Health Care Services.

Colorado

  • Residents of Colorado
  • U.S. citizen or legal permanent resident
  • Blind
  • Disabled
  • Elderly (over 65)
  • Pregnant women and children under age 6 with income at or below 133% of FPL (Family Medicaid and CHP+)
  • Parents with dependent children and children ages 0 – 18 with a household income up to 100% of FPL
  • Children ages 6 – 18 with a household income up to 100% of FPL
  • Diagnosed with breast or cervical cancer (Breast and Cervical Cancer Program – BCCP)
  • Recipients of SSI benefits
  • Elderly individuals in long-term care facilities
  • Non-citizens of the U.S. (emergency care only)

For more information and to apply, visit the CO Department of Health Care Policy site.

 

Connecticut (Medicaid, HUSKY and other Medical Assistance programs)

  • Residents of Connecticut
  • U.S. citizens and legal residents
  • Elderly (over age 65)
  • Blind
  • Disabled
  • Pregnant women with an income limit 250% of FPL (HUSKY A/Medicaid)
  • Children under age 19 and their caretaker relative with an income of 185% of FPL (HUSKY A/Medicaid)
  • Individuals over the income limit with high medical bills
  • Individuals or families who receive cash assistance from SSI or AFDC (Aid to Families with Dependent Children)
  • Single and married adults without SSI income or Medicare and are not pregnant, who earn income at 56% of the FPL in most of the state, and 68% of FPL in southwestern CT (Medicaid for Low-Income Adults/MLIA)
  • Individuals and families under Immigration and Naturalization Service regulations who do not qualify for any other public assistance program (Refugee Medical Assistance, same as Medicaid benefits, 100% federally funded)
  • Uninsured children under age 19 in higher-income households (HUSKY B/Children’s Health Insurance Program)

For more information, visit the Connecticut Department of Social Services and HUSKY sites.

 

Delaware

  • Resident of Delaware
  • U.S. citizens and legal residents
  • SSI benefit recipients
  • Elderly
  • Blind
  • Disabled
  • Low income individuals who have Medicare
  • Individuals and families on welfare
  • Families with children who have an income at or below 260% of FPL
  • Pregnant women and children under 1 with an income of up to 200% of FPL
  • Children ages 1 – 5 with a family income up to 133% of FPL
  • Children ages 6 – 18 with a household income up to 100% of FPL
  • Individuals age 19 and older with an income at or below 100% of FPL (Diamond State Health Plan)

For more information, visit the Delaware Department of Health site.

 

 District of Columbia

  • Residents of D.C.
  • U.S. citizen, legal alien, or permanent resident
  • Individuals between age 19 – 64 with a household income at or below 133% of FPL
  • Elderly (over age 65)
  • Blind
  • Disabled, or have a disabled family member living in your household
  • Pregnant women with an income up to 300% of FPL
  • Working adults with children who earn an income at or below 206% of FPL
  • Working adults without children who earn an income at or below 211% of FPL
  • SSI beneficiaries
  • Infants under the age of 1 with a household income up to 185% of FPL
  • Children ages 1 – 5 with a household income up to 133% of FPL
  • Children ages 6 – 19 with income at or below 100% FPL
  • Aged, blind, and disabled individuals with a single or dual household income at or below  100% of FPL; an asset limit of $4,000 for single individuals, and $6,000 for a couple
  • Individuals receiving care at nursing homes

For more information and application details, visit the D.C. Department of Health Care Finance.

 

Florida

  • Residents of Florida
  • U.S. citizens or legal residents
  • Children up to age 18 and their parent/caretaker relatives with assets below $2,000 and income at or below 58% of FPL
  • Recipients of SSI benefits
  • Individuals who are medically needy, or have high medical bills
  • Pregnant women with an income at or below 185% of FPL
  • Single elderly, blind, or disabled individuals with an income up to 75% and assets up to $5,000
  • Elderly, blind, or disabled individuals living with another person who have a household income up to 83% of FPL, and assets up to $6,000
  • Infants 0-1 with a family income at or below 185% FPL
  • Children ages 1-5 with a family income of up to 133% FPL
  • Children ages 6-19 with a household income at or below 100% FPL
  • Those living in a skilled nursing facility with an income limit set at 300% SSI benefits and a home equity limit of $500,000

For more information visit the Florida Department of Children and Families Medicaid page.

 

Georgia

  • Residents of Georgia
  • U.S. citizens or legal residents
  • Working adults with children who earn up to 49% of FPL income
  • Pregnant women with an income at or below 200% of FPL
  • Single elderly, blind or disabled individuals with an income at or below 75% FPL and an asset limit of $2,000
  • Elderly, blind or disabled individuals living with another person with an income up to 85% over FPL and asset limit of $3,000
  • Individuals in a skilled nursing facility with an income limit set at 300% SSI benefits and a home equity limit of $500,000
  • Infants age 0 – 1 with a household income up to 185% FPL
  • Children between ages 1 – 5 with an income at or below 133% FPL
  • Children ages 6 – 19 with a household income at or below 100% FPL
  • Aged, blind or disabled individuals who require assistance, but do so at home with community care services with a monthly income up to $2,094, and asset limit up to $2,000 ($3,000 for couples)
  • Qualified Medicare Beneficiaries with an individual income at or below $951 per month and no more than$6,940 in resources
  • Qualified Medicare Beneficiaries living with another person with a monthly income up to $1,281, and no more than $10,410 in resources
  • Medically Needy individuals (high medical bills, with income that exceeds limit)

For more information, visit the Georgia Department of Community Health site.

 

Hawaii

  • Resident of Hawaii
  • U.S. citizen or legal resident
  • Working adults (with or without children) with a household income at or below 100% FPL
  • Pregnant women with an income up to 185% of FPL
  • Elderly, blind or disabled individuals with an income at or below 100% FPL, and under $2,000 (single) or $3,000 (couples) in assets
  • Individuals in nursing homes with a home equity below $750,000
  • Medically Needy individuals
  • Individuals who receive Medicare benefits with low income
  • Infants under age 1 with a household income at or below 185% FPL
  • Children ages 1 – 5 with an income of no more than 133% FPL
  • Children ages 6 – 19 with an income at or below 100% FPL
  • Those who receive SSI benefits

For more information on Medicaid and the other Medical Assistance programs available in Hawaii (Medicaid Fee-For-Service, QUEST, Long Term Care, and more) visit the MedQuest Hawaii site.

 

Idaho

  • Residents of Idaho
  • U.S. citizens or legal residents
  • Children age 0 – 5 with a household income less than or equal to 133% FPL
  • Children between ages 6 – 19 with an income at or below 100% FPL
  • Pregnant women with an income at or below 133% of FPL
  • Working adults with children who have an income up to 39% of FPL
  • SSI beneficiaries
  • Medically Needy
  • Single elderly, blind, and disabled individuals with an income up to 78% of FPL or SSI, and no more than $2,000 in assets
  • Elderly, blind, and disabled individuals living with another person with an income up to 83% of FPL or SSI, and no more than $3,000 in assets
  • Those living in a nursing home with an income less than or equal to 300% of SSI, and a home equity up to $750,000

For more information, visit the Idaho Department of Health and Welfare site.

 

Illinois

  • Residents of Illinois
  • U.S. citizens or legal residents
  • Pregnant women with an income less than or equal to 200% FPL
  • Working adults with children who earn income at or below 191% of FPL
  • Children ages 0 – 5 with an income at or below 133% FPL
  • Children ages 6 – 19 with a household income that does not exceed 100% of FPL
  • Those receiving SSI benefits
  • Aged, blind or disabled individuals living alone with an income less than or equal to 100% of FPL or SSI, and no more than $2,000 in resources
  • Aged, blind or disabled individuals living with another person with an income less than or equal to 100% of FPL based on SSI, and no more than $3,000 in resources
  • Individuals living in a skilled nursing facility
  • Women receiving breast or cervical cancer treatment
  • Medicare recipients with low income
  • Medically needy individuals

For more information on the various programs available in Illinois, visit the Illinois Healthcare and Family Services site.

 

Indiana

  • Residents of Indiana
  • U.S. citizens or legal residents
  • Working adults with children who earn an income at or below 24% FPL (206% for  other medical assistance)
  • Medically needy individuals
  • Medicare recipients with low income
  • Individuals who receive SSI benefits
  • Pregnant women with a household income at or below 200% of FPL
  • Infants under age 1 with an income less than or equal to 200% FPL
  • Children ages 1 – 5 with a household income at or below 133% FPL
  • Children age 6 – 19 with a household income at or below 100% FPL
  • Those living in a skilled nursing facility with a home equity total less than or equal to $500,000
  • Single elderly, blind, or disabled individuals with an income at or below 75% FPL and no more than $1,500 in assets
  • Elderly, blind or disabled individuals living with another person with an income that does not exceed 85% FPL, and no more than $2,250 in resources

For more information, visit the Indiana Family and Social Services Medicaid site.

Iowa

  • Residents of Iowa
  • U.S. citizens or legal residents
  • Families with dependent children who qualify for the Family Medical Assistance Program (FMAP)
  • Children  ages 0 – 7 with a household income below FMAP limits
  • Pregnant women with an income less than or equal to 185% of FPL, though the state of Iowa can provide Medicaid to pregnant women with up to 200% FPL at its own discretion
  • Children under age 1 with eligible mother or an income at or below 200% FPL
  • Children age 1 – 5 with a household income at or below 133% FPL
  • Children 6 – 18 with an income at or below 100% FPL, or 133% FPL at the state’s discretion
  • Qualified low-income Medicare members
  • Qualified disabled and working individuals
  • Those who receive SSI benefits
  • Working adults with children who earn up to 82% FPL

For more information on Medicaid and other available public programs in the state of Iowa, visit the Iowa Department of Human Services site.

 

 Kansas

  • Residents of Kansas
  • U.S. citizens or legal residents
  • Pregnant women with an income at or below 150% FPL
  • SSI beneficiaries
  • Single elderly, blind or disabled individuals with an income less than or equal to 75% FPL, with no more than $2,000 in resources
  • Married elderly, blind or disabled individuals with an income less than or equal to 83% FPL, with no more than $3,000 in resources
  • Infants 0 – 1 with income less than or equal to 150% FPL
  • Children ages 1 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with a household income up to 100% FPL
  • Low income Medicare members

For more information, visit the Kansas Department of Health site.

 

Kentucky

  • Residents of Kentucky
  • U.S. citizens or legal residents
  • Infants under age 1 with a family income at or below 185% FPL
  • Children ages 1 – 5 with a household income at or below 133% FPL
  • Children ages 6 – 19 with a household income less than or equal to 100% FPL
  •  Working adults with children who earn up to 59% FPL
  • Pregnant women with a household income of up to 185% FPL
  • Single aged, blind or disabled individuals with an income less than or equal to 75% FPL, with no more than $2,000 in resources
  • Aged, blind or disabled individuals living with another person with an income less than or equal to 83% FPL, and no more than $4,000 in resources
  • Medicare recipients with low income
  • Children living with both parents and the parent is unemployed or underemployed
  • Children with one or both parents who have left the home, cannot work due to disability, or has died
  • Individuals receiving SSI benefits

For more information on Medicaid and public assistance in Kentucky, visit the Kentucky Cabinet for Health and Family Services Department for Medicaid site.

 

Louisiana

  • Residents of Louisiana
  • U.S. citizens or legal residents
  • Pregnant women with an income less than or equal to 200% FPL
  • SSI beneficiaries
  • Children ages 0 – 5 with a family income at or below 133% FPL
  • Children ages 6 – 19 with a family income at or below 100% FPL
  • Working adults with children under 19 who earn less than or equal to 25% FPL
  • Uninsured women who need breast or cervical cancer treatment
  • Recipient of financial assistance from Family Independence Temporary Assistance Program (FITAP)
  • Low income Medicare recipients
  • Elderly, blind or disabled individuals living alone with an income no more than 75% FPL and no more than $2,000 in resources
  • Elderly, blind or disabled persons living with another person with an income no more than 83% FPL, and no more than $3,000 in assets
  • Medically needy individuals
  • Those with corrected vision no better than 20/200
  • Individuals living in nursing homes

For further information about Medicaid in Louisiana, visit the Department of Health and Hospitals site for Louisiana.

 

Maine (MaineCare)

  • Resident of Maine
  • Pregnant women with a family income at or below 200% of FPL
  • Infants under the age of 1 with a household income up to 185% of FPL
  • Children ages 1 – 5 with a family income up to 133% of FPL
  • Children ages 6 – 19 with a household income at or below 125% FPL
  • Working adults with dependent children who earn no more than 200% FPL (300% for other public programs, also includes those without children)
  • SSI beneficiaries
  • Aged, blind or disabled persons with an income (through SSI benefits or otherwise) less than or equal to 100% FPL, and no more than $2,000 (single) or $3,000 (couple) in resources
  • Individuals living in a nursing home with an income that does not exceed 300% SSI, and home equity that does not exceed $750,000
  • Medically needy individuals
  • Qualified Medicare recipients with low income
  • Individuals living with HIV/AIDS
  • Undocumented residents
  • Inmates in jails

For more information about MaineCare medical assistance, visit the Office of MaineCare Services site.

 

Maryland

  • Residents of Maryland
  • U.S. citizens or legal residents
  • Pregnant women with an income less than or equal to 250% of FPL
  • Infants under the age of 1 with a family income up to 185% FPL
  • Children ages 1 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with a family income less than or equal to 100% FPL
  • Single aged, blind or disabled individuals with an income less than or equal to 75% FPL, and assets that do not exceed $2,500
  • Married elderly, blind or disabled persons with an income up to 83% of FPL and no more than $3,000 in assets
  • Working adults with children who earn up to 116% FPL
  • Working adults without children with an income at or below 128% FPL (more limited than Medicaid public program)
  • Persons who receive SSI benefits
  • Medicare members with a low income
  • Persons living in nursing homes with a maximum income of 300% SSI and no more than $500,000 in home equity
  • Medically needy individuals
  • Persons receiving Temporary Cash Assistance

For more information on Medicaid in Maryland, visit the Maryland Department of Health and Mental Hygiene site.

 

Massachusetts (MassHealth)

  • Residents of Massachusetts
  • U.S. citizen or legal resident
  • HIV positive individuals
  • Women with breast or cervical cancer
  • Caretaker relatives of children under age 19 with neither parent living in the home
  • Individuals under the age of 21 in care and custody of the Department of Children and Families when they turn 18
  • Those who require long-term care
  • Pregnant women with an income less than or equal to 200% FPL
  • Low-income working adults with children who earn up to 133% FPL
  • Infants under the age of 1 with a household income less than or equal to 185% FPL
  • Children ages 1 – 5 with a family income up to 133% FPL
  • Children ages 6 – 19 with a household income up to 114% FPL
  • Aged, blind or disabled persons with an income that does not exceed 100% FPL
  • Individuals living in skilled nursing facilities with no more than $750,000 in home equity
  • Medically needy individuals
  • Persons who receive cash assistance from TAFDC, SSI, or EAEDC
  • Some individuals who used to receive SSI benefits
  • Refugees eligible for resettlement assistance
  • Children who qualify for foster care or adoption assistance

For more information on MassHealth, visit the MassResources.org website.

 

Michigan

  • Residents of Michigan
  • U.S. citizens or legal residents
  • Pregnant women with an income at or below 185% FPL
  • Working adults with children whose income is less than or equal to 63% FPL
  • Individuals who receive SSI benefits
  • Medically needy persons
  • Elderly (over 65), blind or disabled individuals with up to 100% FPL and no more than $2,000 (single) or $3,000 (for couples) in resources
  • Infants under age 1 with a family income less than or equal to 185% FPL
  • Children age 1 – 19 with a household income up to 150% of FPL
  • Persons living in a nursing home
  • Persons in need of long-term care

For more information about Medicaid and other medical assistance programs in Michigan, visit the Michigan Department of Community Health site.

 

Minnesota (Medical Assistance)

  • Residents of Minnesota
  • Non-citizens
  • Pregnant women with income up to 275% of FPL
  • Children ages 0 – 19 with household income up to 275% of FPL
  • Medically needy individuals
  • Women with breast or cervical cancer and have been screened by the SAGE program
  • Volunteer firefighters and ambulance attendants
  • Individuals seeking only family planning services
  • Employed adults with children who earn a maximum of 215% FPL
  • Employed adults without children who earn a maximum of 75% FPL
  • Persons who receive financial assistance from SSI
  • Persons living in nursing homes
  • Individuals who require long-term care
  • Elderly, blind or disabled persons who have an income up to 100% FPL, and no more than $3,000 (single) or $6,000 (couple) in resources
  • Employed individuals with disabilities
  • Adults and children with disabilities

For more information and to find out how to apply for Medical Assistance in Minnesota, visit the Minnesota Department of Human Services Medical Assistance site.

 

Mississippi

  • Residents of Mississippi
  • U.S. citizens or legal permanent residents
  • Current or former SSI recipients
  • Medically needy individuals
  • Pregnant women and infants under age 1 with a household income at or below 185% FPL
  • Employed adults with children under 18 whose income is up to 44% FPL
  • Children with a parent who is underemployed or unemployed
  • Single elderly, blind or disabled persons with an income less than or equal to 80% of FPL and no more than $4,000 in assets
  • Married elderly, blind or disabled persons with an income less than or equal to 87% FPL and no more than $6,000 in assets
  • Individuals who require care in a nursing home
  • Children ages 1 – 5 with a household income at or below 133% FPL
  • Children ages 6 – 19 with  family income less than or equal to 100% FPL
  • Children who have received foster care
  • Low income Medicare members

For more information on eligibility and how to fill out applications, visit the official Mississippi Medicaid site.

 

Missouri (MO HealthNet)

  • Residents of Missouri
  • U.S. citizens or legal residents
  • Pregnant women and infants whose income falls at or below 185% of FPL
  • Children age 1 – 5 with a household income up to 133% of FPL
  • Children ages 6 – 19 with a family income less than or equal to 100% FPL
  • Elderly, blind or disabled persons with an income at or below 85% FPL
  • SSI beneficiaries
  • Individuals in skilled nursing facilities and home equity that does not exceed $500,000
  • Disabled persons in need of long-term care
  • Recipients of cash assistance
  • Qualified Medicare Beneficiaries
  • Medically needy individuals

For more information on the state’s various medical assistance programs and to find out how to apply, visit the Missouri Department of Social Services Medicaid site.

Montana

  • Residents of Montana
  • U.S. citizens or legal residents
  • Women diagnosed with breast or cervical cancer, or pre-cancer
  • SSI recipients
  • Qualified Medicare Beneficiaries
  • Medically needy individuals
  • Pregnant women with a household income up to 150% of FPL
  • Children ages 0 – 5 with a family income less than or equal to 133% of FPL
  • Children ages 6 – 19 with an income of up to 100% FPL
  • Single aged, blind or disabled individuals with an income at or below 75% FPL, with no more than $2,000 in assets
  • Married aged, blind or disabled persons with an SSI-based income at or below 83% FPL, and assets that do not exceed $3,000
  • Persons living in a nursing facility
  • Employed adults with children whose income is less than or equal to 55% of FPL

For more information about Medicaid in Montana, visit the official government site.

 

Nebraska

  • Residents of Nebraska
  • U.S. citizens or legal residents
  • Children and families who receive cash assistance from Aid to Dependent Children (TANF)
  • Medically needy individuals
  • Children and families with income over the ADC standard and less than the medically needy standard
  • Pregnant women with an income 185% of FPL
  • Infants ages 0 – 1 with a family income up to 150% of FPL
  • Children ages 1 – 5 with a household income at or below 133% of FPL
  • Children ages 6 – 19 with a family income at or below 100% FPL
  • Employed adults over 19 with children who earn up to 57% FPL
  • Single elderly, blind or disabled persons with an income up to 100% of FPL, and resources that total no more than $4,000
  • Married elderly, blind or disabled persons with an income up to 100% FPL (if not on SSI) and resources no more than $6,000
  • SSI beneficiaries
  • Low-income Medicare recipients
  • Individuals living in a nursing home with an income limit of 300% SSI
  • Women in need of breast and cervical cancer treatment
  • Former recipients of SSI benefits with 1619b status
  • Non-residents (emergency care only)

For more information on Nebraska Medicaid eligibility, visit the Nebraska Department of Health & Human Services Medicaid site.

 

Nevada

  • Residents of Nevada
  • U.S. citizens or legal residents
  • Pregnant women with an income up to 133% FPL
  • Working adults with children and an income at or below 87% FPL
  • Single elderly individuals, living independently, with an income up to 86% FPL
  • Married elderly individuals, living independently, with an income up to 89% FPL
  • Blind persons who are single, living independently, and have an income up to 87% FPL
  • Blind persons who are married, living independently, and have an income up to 114% FPL
  • Disabled individuals who are single, living independently, and have an income up to 75% FPL
  • Disabled individuals who are married, living independently, and have an income up to 83% FPL
  • Children ages 0 – 5 with a family income at or below 133% FPL
  • Children ages 6 – 19 with a family income at or below 100% FPL
  • SSI beneficiaries
  • Low income Medicare recipients
  • Children and families who receive cash assistance from TANF
  • Persons who qualify for cash assistance but choose to receive medical benefits only
  • Non-residents (emergency care only on an month-to month basis)
  • Persons living in a nursing home with a monthly income up to 300% of SSI
  • Qualified individuals who formerly received SSI benefits
  • Qualified Medicare Beneficiaries, with income at or below 100% FPL
  • Special Low Income Medicare Beneficiaries, with income at or below 100 – 120% of FPL
  • Medicare recipients with an income between 120 – 175% of FPL
  • Qualified Disabled Working Individuals, who receive Medicare and have an income below 200% FPL

For more information on the services covered by Medical Assistance in Nevada, visit the Nevada Department of Health & Human Services: Division of Welfare site.

 

New Hampshire

  • Residents of New Hampshire
  • U.S. citizens or legal residents
  • Pregnant women with income at or below 185% FPL
  • SSI beneficiaries
  • Certain qualifying former recipients of SSI benefits
  • Children and families who receive TANF cash assistance
  • Medically needy individuals
  • Single elderly, blind or disabled individuals with income less than or equal to 79% FPL, and no more than $1,500 in resources
  • Married elderly, blind or disabled  individuals with income at or below 87% FPL, and no more than $2,250 in resources
  • Children ages 0 – 19 with a family income up to 185% FPL
  • Working parents with an income at or below 49% FPL
  • Non-residents (limited emergency care services only)
  • Individuals living in a skilled nursing facility with an income limit set at 300% SSI and no more than $500,000 in home equity
  • Women in need of treatment for breast or cervical cancer

For more information regarding Medicaid in New Hampshire, visit the New Hampshire Office of Medicaid site.

 

New Jersey

  • Residents of New Jersey
  • U.S. citizens or legal residents
  • Infants under age 1 with a household income at or below 185% FPL
  • Children between ages 1 – 5 with a family income up to 133% FPL
  • Children ages 6 – 19 with an income at or below 100% FPL
  • Pregnant women with an income at or below 185% FPL
  • SSI beneficiaries
  • Recipients of TANF benefits
  • Working adults with children who earn up to 200% FPL
  • Employed adults without children with income at or below 23% FPL
  • Persons living in nursing care facilities with an income limit set at 300% SSI and home equity that does not exceed $750,000
  • Single blind, disabled or elderly persons with an income up to 100% FPL and no more than $4,000 in assets
  • Married blind, disabled or elderly persons with an income up to 100% FPL and no more than $6,000 in assets
  • Women in need of breast and cervical cancer care
  • Medically needy individuals
  • Aged, blind or disabled persons in need of long-term care

To find out how to apply for Medicaid in New Jersey and more specific criteria for qualification, visit the New Jersey Department of Human Services Division of Medical Assistance site.

 

New Mexico

  • Residents of New Mexico
  • U.S. citizens or legal residents
  • SSI beneficiaries
  • Families and children who receive TANF cash assistance
  • Medically needy individuals
  • Pregnant women with an income up to 235% of FPL
  • Children age 0 – 19 with a family income at or below 185% FPL
  • Employed adults with children whose income is up to 85% FPL
  • Qualified Medicare Beneficiaries
  • Single aged, blind or disabled individuals with income at or below 75% FPL, and no more than $2,000 in assets
  • Married aged, blind or disabled persons with income up to 83% FPL, and no more than $3,000 in assets
  • Individuals in nursing homes with an income limit set at 300% SSI and home equity that does not exceed $750,000
  • Individuals who want family planning services
  • Women who need treatment for breast and cervical cancer
  • Persons in need of long-term care
  • Working disabled individuals

For more information on the various Medicaid programs available in New Mexico, please refer tot he New Mexico Health Department: Medical Assistance Division.

 

New York

  • Residents of New York
  • U.S. citizens or legal residents
  • Recipients of TANF cash assistance
  • SSI beneficiaries
  • Pregnant women with income up to 200% FPL
  • Medically needy individuals (high medical bills)
  • Infants under age 1 with a family income at or below 200% FPL
  • Children ages 1 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with income at or below 100% FPL
  • Employed adults with children whose income is at or below 150% FPL
  • Working adults without children with income up to 100% FPL
  • Single aged, blind or disabled persons with income up to 85% FPL and resources that do not exceed $4,350
  • Married aged, blind or disabled persons with income up to 92% FPL, and resources that do not exceed $6,400
  • Persons in nursing homes with a home equity that does not surpass $750,000
  • Individuals in need of breast or cervical cancer treatment
  • Aged, blind or disabled persons who require long-term care

To find out more about the Medicaid programs available and find out if you qualify, visit the New York State Department of Health Medicaid page.

 

North Carolina

  • Residents of North Carolina
  • U.S. citizens or legal residents
  • Pregnant women with income at or below 185% FPL
  • Infants under age 1 with a family income at or below 185% FPL
  • Children ages 1 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with income up to 100% FPL
  • Persons in the Work First program (TANF)
  • Medicare recipients who have a low income and limited resources
  • Working disabled individuals
  • SSI beneficiaries
  • Ages, blind or disabled persons in need of long-term care in the home
  • Working adults with children whose income is at or below 49% FPL
  • Individuals living in nursing facilities with no more than $500,000 in home equity
  • Children who require long-term care
  • Medically needy individuals
  • Single elderly, blind or disabled persons with income up to 100% FPL, and assets that do not exceed $2,000
  • Married elderly, blind or disabled persons with income up to 100% FPL and assets that do not exceed $3,000

For more information on the various Medicaid programs in the state of North Carolina, visit the North Carolina Department of Health and Human Services Medicaid site.

 

North Dakota

  • Residents of North Dakota
  • U.S. citizens or legal residents
  • SSI beneficiaries
  • Individuals who receive TANF assistance
  • Pregnant women with income less than or equal to 133% FPL
  • Children ages 0 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with income at or below 100% FPL
  • Single aged, blind or disabled individuals with income at or below 75% FPL and resources that to not exceed $3,000
  • Married aged, blind or disabled persons with income less than or equal to 83% FPL and resources that do not exceed $6,000
  • Working parents with an income at or below 59% FPL
  • Individuals in nursing homes whose home equity does not surpass $500,000
  • Medically needy individuals
  • Children in foster care or federally funded adoption
  • Children with disabilities
  • Women in need of breast or cervical cancer treatment
  • Medicare recipients with low income
  • Working disabled persons

For more information on North Dakota Medicaid, visit the North Dakota Department of Human Services site.

 

Ohio

  • Residents of Ohio
  • U.S. citizens or legal residents
  • Women who require care for breast or cervical cancer
  • Pregnant women with income at or below 200% FPL
  • SSI recipients
  • Medicare beneficiaries with low income
  • Working adults with children whose income is up to 90% FPL
  • Medically needy persons
  • Children ages 0 -19 with a household income at or below 150% FPL
  • Single elderly, disabled or blind persons with income at or below 65% FPL and resources that do not surpass $1,500
  • Married elderly, disabled or blind persons with income at or below 83% FPL and assets that do not surpass $2,250
  • Elderly persons living in nursing facilities with an income of no more than 300% SSI benefits, and a home equity that does not exceed $500,000
  • Non-residents (emergency care only)
  • Those who receive benefits from the Ohio Works First program
  • 19 and 20 year-olds whose income exceeds the criteria for the Ohio Works First program

For more information on the various programs available through Ohio Medicaid, visit the  Ohio Department of Job and Family Services site.

 

 Oklahoma (SoonerCare)

  • Residents of Oklahoma
  • U.S. citizens or legal residents
  • Low-income employed adults with children who earn up to 53% FPL (Premium Assistance is available for those who earn up to 200% FPL, with or without children)
  • Pregnant women with an income less than or equal to 185% FPL
  • Children ages 0 – 5 with income at or below 133% FPL
  • Children ages 6 – 19 with income up to 100% FPL
  • Individuals who receive SSI benefits
  • Medically Needy (high medical bills)
  • Single aged, blind or disabled individuals with SSI benefits that do not exceed 80% FPL, and no more than $2,000 in assets
  • Married aged, blind or disabled individuals with SSI benefits that do not exceed 87% FPL, or an income up to 90% FPL, with no more than $3,000 in assets
  • Women in need of breast of cervical cancer treatment
  • Those in need of family planning services
  • Persons living in a skilled nursing facility
  • Persons in need of long-term care
  • Individuals receiving TANF cash assistance

To find out more about Medicaid/SoonerCare or fill out an online application, visit the Oklahoma Department of Human Services SoonerCare site.

 

Oregon (Oregon Health Plan)

  • Residents of Oregon
  • U.S. citizens or permanent residents
  • Recipients of TANF benefits
  • SSI beneficiaries
  • Pregnant women with income up to 185% FPL
  • Disabled children
  • Low income Medicare recipients
  • Children in foster care
  • Children age 0 – 5 with a family income at or below 133% FPL
  • Children ages 6 – 19 with a household income at or below 100% FPL
  • Low income working parents with income up to 40% FPL
  • Low income working adults with or without children with income up to 201% FPL (other medical assistance program)
  • Single elderly or disabled persons whose income is less than or equal to 75% FPL and assets do not exceed $4,000
  • Married elderly or disabled persons with income up to 83% FPL and no more than $6,000 in assets
  • Single blind individuals with income up to 78% FPL, and no more than $4,000 in resources
  • Married blind individuals with income less than or equal to 85% FPL, and no more than $6,000 in resources
  • Aged persons in a nursing facility with a maximum income of 300% SSI, and home equity that does not surpass $500,000
  • Medically needy persons
  • Women who need treatment for breast or cervical cancer

For more information and to apply for medical assistance int he state of Oregon, visit the official government site of the Oregon Health Plan.

 

Pennsylvania

  • Residents of Pennsylvania
  • U.S. citizens or legal residents
  • Pregnant women whose income is less than or equal to 185% FPL
  • Individuals who receive SSI benefits
  • TANF beneficiaries
  • Women who require care for breast and cervical cancer
  • Individuals with AIDS/HIV
  • Single and married persons with a temporary disability, ages 59 – 64, or low income
  • Single and married persons with circumstances such as: undergoing drug and alcohol abuse treatment, domestic violence victim, caretaker of disabled person or child
  • Children in foster care
  • Elderly, blind or disabled individuals with an income up to 100% FPL, and no more than $2,000 (single) or $3,000 (married) in resources
  • Medically needy persons
  • Persons living in nursing homes with income less than or equal to 300% SSI, and no more than $500,000 in home equity
  • Infants under age 1 with a family income at or below 185% FPL
  • Children ages 1 – 5 with a household income less than or equal to 133% FPL
  • Children ages 6 – 19 with income less than or equal to 100% FPL
  • Qualified Medicare Beneficiaries
  • Those in need of long-term care

For more information, visit the Pennsylvania Department of Public Welfare official site and find out if you qualify or apply for Medical Assistance.

 

Rhode Island

  • Residents of Rhode Island
  • U.S. citizens or legal residents
  • Children in foster care or under an adoption subsidy from the Department of Children, Youth and Families
  • Recipients of TANF assistance
  • Pregnant women with income up to 185% of FPL
  • Infants under age 1 with a family income at or below 185% FPL
  • Children ages 1 – 5 with income less than or equal to 133% FPL
  • Children ages 6 – 19 with household income less than or equal to 100% FPL
  • Blind, disabled or elderly individuals with an income less than or equal to 100% FPL, and resources that do not exceed $4,000 (single) or $6,000 (married)
  • Individuals living in a skilled nursing facility with an income limit of 300% SSI benefits and no more than $500,000 in home equity
  • Medically needy individuals
  • Recipients of SSI benefits
  • Low income recipients of Medicare
  • Members of the RI Works Program
  • Children with a disability or chronic condition

For further information about the various Medical Assistance programs in the state of Rhode Island, please refer to the Rhode Island Department of Human Services site.

 

South Carolina (Healthy Connections)

  • Residents of South Carolina
  • U.S. citizens or legal residents
  • Medically needy individuals
  • Pregnant women with an income up to 185% FPL
  • Anyone receiving SSI benefits
  • Some former recipients of SSI benefits
  • Qualified low income Medicare beneficiaries
  • Persons living in nursing homes with an income of no more than 300% SSI, and $500,000 in home equity
  • Disabled, blind or elderly individuals with an income up to 100% FPL, and resources of no more than $4,000 (single) or $6,000 (married)
  • Children ages 0 – 19 with an income less than or equal to 150% FPL
  • Low income employed adults with children who earn up to 91% FPL
  • Those who receive cash assistance from Aid to Families with Dependent Children or Family Independence
  • Individuals in need of long-term care services
  • Women diagnosed with breast or cervical cancer
  • Working disabled individuals
  • Children with disabilities
  • Those seeking family planning services

For more information on the the Healthy Connections plans available for different groups of people and how to apply, visit the South Carolina Health & Human Services site.

 

South Dakota

  • Residents of South Dakota
  • U.S. citizens or legal residents
  • SSI beneficiaries
  • Children and families eligible for TANF
  • Medically needy individuals
  • Pregnant women whose income is at or below 133% FPL
  • Children ages 0 – 5 with a household income at or below 133% FPL
  • Children ages 6 -19 with an income up to 100% FPL
  • Recipients of Medicare with low income
  • Single elderly, blind or disabled persons with income up to 75% FPL, and no more than $2,000 in resources
  • Married elderly, blind or disabled persons with income up to 83% FPL, and no more than $3,000 in resources
  • Persons living in a skilled nursing facility with an income of no more than 300% SSI, and no more than $500,000 in home equity
  • Women with breast and cervical cancer
  • Children in foster care
  • Young adults who were formerly in foster care
  • Individuals in need of long-term care
  • Those seeking family planning services
  • Non-residents (Refugee Assistance)

For more information on Medicaid in South Dakota, visit the South Dakota Department of Social Services website.

 

Tennessee (TennCare)

  • Residents of Tennessee
  • U.S. citizens or legal residents
  • Women with breast or cervical cancer
  • Medically needy individuals
  • SSI beneficiaries
  • Those who qualify for AFDC benefits
  • Individuals in institutions (nursing facilities, intermediate care facility)
  • Low income Medicare recipients
  • Qualified Disabled Working Individuals
  • Individuals in need of long-term care from Home and Community-Based Services
  • Pregnant women whose income is at or below 185% FPL
  • Infants under age 1 with a family income less than or equal to 185% FPL
  • Children ages 1 – 5 with an income at or below 133% FPL
  • Children ages 6 – 19 with a household income at or below 100% FPL
  • Single disabled, aged or blind persons with income less than or equal to 75% FPL, and resources that do not exceed $2,000
  • Married disabled, aged or blind persons with income less than or equal to 83% FPL, and resources that do not exceed $3,000
  • Working adults with children whose income is less than or equal to 126% FPL

For more information on qualifying groups and how to apply, visit the Medicaid/TennCare section of the Tennessee Department of Human Services site.

 

Texas

  • Residents of Texas
  • U.S. citizens or legal residents
  • SSI benefit recipients
  • Low income Medicare beneficiaries
  • Low income working parents who earn up to 26% FPL
  • Pregnant women whose income is less than or equal to 185% FPL
  • Medically needy persons (high medical bills)
  • Infants under 1 year old with a household income up to 185% FPL
  • Children ages 1 – 5 with a family income at or below 133% FPL
  • Children ages 6 – 19 with a family income at or below 100% FPL
  • Single aged, disabled or blind persons with an income at or below 75% FPL, and no more than $2,000 in resources
  • Married aged, disabled or blind persons with an income at or below 83% FPL, and no more than $3,000 in resources
  • Individuals in a nursing care facility with an income that does not exceed 300% SSI, and no more than $500,000 in home equity
  • Recipients of TANF benefits
  • Disabled children

More information is available at the Texas Health and Human Services Commission website regarding their policy on Medicaid.

 

Utah

  • Residents of Utah
  • U.S. citizens or legal residents
  • Pregnant women with an income at or below 133% of FPL
  • SSI beneficiaries
  • Families and children receiving assistance from TANF or other related cash assistance programs
  • Working adults with children with an income less than or equal to 44% FPL (Premium Assistance available to those with or without children whose income is up to 150%)
  • Children ages 0 – 5 with a household income up to 133% FPL
  • Children ages 6 – 19 with an income at or below 100% FPL
  • Individuals with high medical bills (Medically Needy)
  • Blind, disabled or elderly individuals with an income up to 100% FPL, and resources at or below $2,000 (single) or $3,000 (married)
  • Children in foster care
  • Children with disabilities
  • Persons living in a skilled nursing facility or institution
  • Individuals in need of long-term care
  • Young adults leaving foster care
  • Former recipients of SSI benefits
  • Those seeking family planning services
  • Qualified Medicare Beneficiaries (low income)
  • Women with breast or cervical cancer

For more information on Utah Medicaid and to find out how to apply, please visit the Utah Department of Health’s Medicaid page.

 

Vermont

  • Residents of Vermont
  • U.S. citizens or legal residents
  • Qualified non-residents
  • SSI benefit recipients
  • Low income Medicare recipients
  • Working adults with disabilities
  • Employed adults with children whose income is less than or equal to 185% FPL
  • Employed adults with an income at or below 150% FPL
  • Pregnant women whose income is less than or equal to 200% FPL
  • Children ages 0 – 19 with a household income up to 225% FPL
  • Medically needy individuals
  • Single elderly, blind or disabled individuals with an income at or below 101% FPL (110% in Chittenden), and no more than $2,000 in resources
  • Married elderly, blind or disabled individuals with an income at or below 75% FPL (82% in Chittenden), and no more than $3,000 in resources
  • Individuals in nursing homes with an income less than or equal to 300% SSI benefits, and no more than $500,000 in home equity
  • Parent or caretaker relative of a dependent child

For more detailed eligibility rules and application information, visit the Vermont Campaign for Health Care Security Medicaid site.

 

Virginia

  • Residents of Virginia
  • U.S. citizens or legal residents
  • Qualified Medicare Beneficiaries (low income)
  • Working adults with disabilities
  • Parent or caretaker relative of dependent children
  • Disabled children
  • Pregnant women with a household income less than or equal to 133% FPL
  • Children ages 0 – 5 with a family income up to 133% FPl
  • Children ages 6 – 19 with an income at or below 100% FPL
  • SSI beneficiaries
  • Recipients of TANF
  • Employed adults with children whose income is at or below 31% FPL
  • Medically needy persons
  • Persons in need of family planning services
  • Individuals with HIV/AIDS
  • Individuals and families with developmental disabilities
  • Persons in need of long-term care
  • Aged, disabled or blind persons with an income up to 80% of FPL, and no more than $2,000 (single) or $3,000 (married) in resources
  • Persons living in a nursing home whose income does not exceed 300% of SSI benefits, and a home quity that does not surpass $500,000
  • Women with breast or cervical cancer

For more information on Medicaid programs and services in Virginia, please refer to the Virginia Department of Medical Assistance site.

 

Washington

  • Residents of Washington
  • U.S. citizens or legal residents
  • Workers with disabilities
  • Families and individuals who receive assistance from TANF
  • Medically needy individuals and families (high medical bills)
  • Low income Medicare beneficiaries
  • Individuals who receive SSI benefits
  • Some former recipients of SSI benefits
  • Pregnant women with an income at or below 185% FPL
  • Children living in foster care
  • Children ages 0 – 19 whose household income does not exceed 200% FPL
  • Blind, disabled or elderly persons who are single, with an income up to 75% FPL and resources that do not surpass $2,000
  • Blind, disabled or elderly persons who are married, with an income up to 83% FPL and resources that do not surpass $3,000
  • Individuals living in a skilled nursing facility
  • Those in need of long term care while living at home

For further information about the Medicaid programs available in Washington State, visit the Washington State Health Care Authority site.

 

West Virginia

  • Residents of West Virginia
  • U.S. citizens and legal residents
  • Pregnant women with an income at or below 150% FPL
  • SSI beneficiaries
  • Those who receive TANF cash assistance
  • Working parents whose income is less than or equal to 32% FPL
  • Medically needy persons
  • Children in foster care and under adoption subsidy
  • Families and children who qualify for Aid to Families with Dependent Children (AFDC)
  • Children with disabilities
  • Adults with disabilities who are employed
  • Women diagnosed with breast or cervical cancer
  • Low income Medicare recipients
  • Single disabled, blind or elderly persons with an income at or below 75% FPL, and no more than $2,000 in assets
  • Married disabled, blind or elderly persons with an income at or below 83% FPL, and no more than $3,000 in assets
  • Persons living in nursing homes or other qualifying institutions
  • Infants under the age of 1 with a family income up to 150% FPL
  • Children ages 1 – 5 with an income less than or equal to 133% FPL
  • Children ages 6 – 19 with a household income up to 100% FPL

For more information regarding West Virginia’s Medicaid program and it’s requirements, please visit the West Virginia Department of Health and Human Resources site.

 

Wisconsin (ForwardHealth)

  • Residents of Wisconsin
  • U.S. citizens and legal residents
  • Non-residents
  • Women diagnosed with breast or cervical cancer
  • SSI beneficiaries
  • Recipients of TANF cash assistance and similar programs
  • Elderly, blind or disabled persons who choose to live at home with community assistance
  • Individuals in need of long term care
  • Qualified Medicare Beneficiaries (low income)
  • Individuals diagnosed with tuberculosis
  • Pregnant women with an income less than or equal to 300% FPL
  • Infants under the age of 1 with income at or below 300% FPL
  • Children ages 1 – 5 with a household income at or below 185% FPL
  • Children ages 6 – 19 with a family income up to 100% FPL
  • Working adults with children whose income is less than or equal to 200% FPL
  • Workers with disabilities
  • Single aged, blind or disabled individuals whose income is 84% FPL, and with no more than $2,o00 in resources
  • Married aged, blind or disabled individuals whose income is 94% FPL, and with no more than $3,o00 in resources
  • Individuals living in a nursing home with a maximum income of 300% SSI, and no more than $500,000 in home equity
  • Children in foster care
  • Non-citizens (emergency care only)

For more information about eligibility for ForwardHealth/Medicaid in the state of Wisconsin, refer to the Wisconsin Department of Health Medicaid homepage.

 

Wyoming

  • Residents of Wyoming
  • U.S. citizens and legal residents
  • Women diagnosed with breast or cervical cancer
  • Individuals in need of long term care
  • Those who have been diagnosed with Tuberculosis
  • Pregnant women with an income at or below 133% FPL
  • SSI beneficiaries
  • Those who receive TANF or other types of government funded cash assistance
  • Children ages 0 – 5 with a household income at or below 133% FPL
  • Children ages 6 – 19 with a household income less than or equal to 100% FPL
  • Working adults with children whose income is less than or equal to 51% FPL
  • Single elderly, blind or disabled individuals with income at or below 75% FPL, and no more than $2,000 in assets
  • Married elderly, blind or disabled individuals with income at or below 83% FPL, and no more than $3,000 in assets
  • Individuals living in a nursing facility with an income no more than 300% SSI, and no more than $500,000 in home equity
  • Children in foster care
  • Families and children who qualify for AFDC
  • Children with disabilities
  • Qualified Medicare Beneficiaries
  • Working individuals with disabilities

For more information on the specific eligibility criteria for the state of Wyoming’s Medicaid programs, visit the Wyoming Department of Health Medicaid page.

 

Sources:

1. Kaiser Family Foundation. “State Health Facts: Medicaid & CHIP“.