Eligibility Team
Researcher & Writer
July 12, 2017
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If you have a disability, you may qualify for Medicare. Check out our Medicare and Disabilities guide for information.

Medicaid Eligibility Information, by State

Medicaid is a government-funded program designed to provide health care coverage for low-income households. This program receives funding from both the state and federal government. The federal government designed the program and maintains program regulations that states are required to follow. States, in turn, are allowed to make decisions regarding eligibility and benefits within the state. Each state maintains its own Medicaid website, which is used as a resource and portal for those applying for and receiving Medicaid.

Important Terms for Medicaid Qualification

Modified Adjusted Gross Income (MAGI) is your total gross income. This includes income from employment, other benefits, child support, alimony, interest, foreign income, etc. All your income sources are included.

Federal Poverty Level (FPL) is the line designated by the Department of Health and Human Services to determine who is living in poverty.

Medicaid Costs

While the federal regulations prohibit states from charging certain enrollees or charging any enrollees for certain services, each state has the power to establish out-of-pocket expenses for enrollees. These expenses may include copays, deductibles, premiums, and partial charges for services.

As part of this, states may choose to charge copays on expensive and name brand prescriptions when there are generic versions available. Each state can create a list of “preferred” and “non-preferred” prescriptions. A copay of up to 20% can be charged on non-preferred prescriptions. This is designed to encourage people to choose generic versions of the more costly medications.

Emergency Room Visits with Medicaid

Under Medicaid, enrollees can not be charged for emergency room visits. However, there are standards in place that allow states to charge copays to enrollees that use the emergency room for non-emergency needs. This is designed to stop people from using the emergency room when there are other more reasonable options available. There are procedures that must be followed in order to charge the copay, so enrollees can not be surprised with a large copay. They will be informed prior to emergency service being provided.

Medicaid Enrollment Strategies

Enrollment strategies for federal financial aid are put in place to make the Medicaid enrollment process simpler for both the agencies and the enrollees. There are three common strategies utilized; presumptive eligibility, express lane eligibility, and continuous eligibility. Presumptive will enroll families that appear to qualify while waiting for their application to be processed. Express lane will automatically qualify families that are already enrolled in another program such as SNAP or WIC. Finally, continuous eligibility maintains enrollment for one year regardless of changes in household income during the year.

How to Apply for Medicaid - Can I Apply for Medicaid Online?

Because Medicaid is administered through the state and states determine eligibility, you will need to visit your state's Medicaid office or website to apply. When applying you will need proof of income, residency, age, citizenship and/or immigration status for every member of your household.

Your Guide to Medicaid

Medicaid is a government-funded health insurance program that provides health care coverage for eligible low-income people regardless of age. While Medicaid is funded by both the individual states and the federal government, it is administered by the individual states. In order to maintain federal funding, the states are required to adhere to federal requirements regarding how they administer Medicaid and whom they deem eligible for Medicaid. As of 2014, there are 72.5 million people registered for Medicaid.

The Affordable Care Act broadened the eligibility requirements to include more people that may be uninsured. The Affordable Care Act also broadened the services that may be covered under Medicaid. This Act changed the minimum requirements for Medicaid eligibility. States can still choose to go beyond the minimum.

Medicaid is a complicated program. There are many ways to qualify. Before deciphering how the program may help you, it’s important to know the following terms.

Important Medicaid Program-Related Terms, Explained

Earlier, we listed the following important terms for Medicaid.  Here's is a deeper explanation of each on.e

Modified Adjusted Gross Income (MAGI)

MAGI is your adjusted gross income with tax-exempt social security, interest, or foreign income added in if you have any of these. The total amount is your modified adjusted gross income. Your adjusted gross income is your total income minus specific deductions. If you have multiple sources of income, they must all be added together in order to get your gross income.

Federal Poverty Level (FPL)

This is also referred to as Federal Poverty Guidelines or Federal Poverty Line. The FPL is issued by the Department of Health and Human Services each year, and it is used to determine eligibility for various federal and state funded programs and benefits.

The FPL is the amount the federal government has decided separates those living in poverty. This amount can be changed from year to year. The FPL or a percentage of the FPL is used to determine income eligibility for Medicaid. Each state sets their own income requirements for Medicaid within federal guidelines. For example, if a state sets eligibility at 200% FPL, that means an enrollee can make double the federal poverty line and still qualify for Medicaid benefits.

FPL may also be used to determine how many benefits the enrollee is eligible for and whether or not they have to pay copayments, coinsurance, or partial fees for services. The higher your income, the less free benefits you may receive.

Income for eligibility is determined by your MAGI and where it falls in relationship to the FPL. In the table below, the percentages across the top are percentages of the FPL, while the dollar amounts are the MAGI based on family size.

Family Size
1 $11,770 $14,124 $16,478 $17,655 $20,597.50 $23,540 $29,425
2 $15,930 $19,116 $22,302 $23,895 $27,877,50 $31,860 $39,825
3 $20,090 $24,108 $28,126 $30,135 $35,157.50 $40,180 $50,225
4 $24,250 $29,100 $33,950 $36,375 $42,437.50 $48,500 $60,625
5 $28,410 $34,092 $39,774 $42,615 $49,717.50 $56,820 $56,820
6 $32,570 $39,084 $45,598 $48,855 $56,997.50 $65,140 $81,425
7 $36,730 $44,076 $51,422 $51,422 $64,277.50 $73,460 $91,825

What Does Medicaid Cover?

There are Medicaid benefits that states are required to provide according to federal regulations and benefits that states may choose to provide. Here is a sampling of those benefits.  We also answer this question in depth on our "What Does Medicaid Cover?" page here.

  • Inpatient and outpatient hospital services
  • Screening, diagnostic, and treatment services
  • Nursing home services
  • Home healthcare services
  • Primary physician services
  • Rural health clinic services
  • Services of any federal qualified health services center
  • Labs and x-rays
  • Family planning
  • Nurse midwife services
  • Certified pediatric and family nurse practitioner services
  • Freestanding birth center services
  • Transportation to medical centers
  • Treat options to help pregnant women quit smoking
Optional Benefits
  • Prescriptions
  • Clinical services
  • Physical therapy
  • Occupational therapy
  • Speech, hearing, and language disorder services
  • Respiratory care
  • Other rehabilitation
  • Podiatrists
  • Optometrists
  • Dentists
  • Dentures
  • Prosthetics
  • Glasses
  • Chiropractors
  • Private nursing
  • Personal care
  • Hospice
  • Case management
  • Community-based services
  • TB-related services
  • Psychiatric care for individuals under 21
  • Mental health institutions for individuals over 65

States may choose to establish out-of-pocket costs to the Medicaid enrollee. These costs may include copayments, coinsurance, deductibles, and partial charges for optional benefits. The federal government does limit the amount a state can charge in out-of-pocket expenses. States can also create a sliding scale, so out-of-pocket expenses vary based on income. Vulnerable groups are exempt to out-of-pocket expenses. Vulnerable groups, as defined by federal regulations, include pregnant women and children.

Additionally, copayments and coinsurance cannot be charged for certain services. For example, parents are not charged or required to make a copayment on well-child checkups for their children.

Medicaid Premium Amounts

States are allowed to charge limited premiums and/or enrollment fees for the following groups:

  • Pregnant women and infants with an income over 150% the FPL.
  • Enrollees with income over 150% the FPL.
  • Disabled workers who qualified under the Ticket to Work and Work Incentive Improvement Act of 1999.
  • Disabled children who qualify under the Family Opportunity Act (FOA).

States are not allowed to charge premiums and/or enrollment fees to the following groups:

  • Most children who are income eligible for Medicaid.
  • Enrollees that are institutionalized.

Prescription Drugs with Medicaid

States are permitted to assign out-of-pocket copayments to prescription drugs they deem as “non-preferred.” Non-preferred drugs are expensive name brand drugs that have a generic counterpart, while preferred drugs are the less expensive generic versions. Each state may create a list of “preferred” and “non-referred” drugs. They are allowed to charge up to a 20% copay on non-preferred drugs for people whose income is more than 150% FPL. You can obtain copies of the “preferred” and “non-preferred” prescription lists through your state Medicaid office.

Emergency Room Visits with Medicaid

Emergency services are exempted from all copayments according to federal regulations. However, states may choose to charge a copay when the emergency room is used for non-emergency services. This is up to the discretion of each individual state. If a state elects to establish these charges, three requirements must be met in order for an individual to be charged.

  • After the medical exam, the hospital determined that emergency services were not needed.
  • A non-emergency service provider was available at the time the service was needed. For example, during regular hours when a doctor’s office or clinic could have been reached.
  • Prior to the medical exam, the hospital provided the patient with (1) written notice that they may be charged a copay if the service is deemed non-emergency, (2) contact information for a non-emergency service provider that is available at the time of service, and (3) a referral to the non-emergency service provider.

If all three requirements are met, you may be billed for a portion of your emergency room visit.

States are allowed to choose exactly how they enroll people that are eligible for Medicaid coverage. However, there are three most common strategies that states use to simplify the process for both the state and the enrollees.

  • Presumptive Eligibility – this strategy enrolls individuals that are likely to be eligible based on the preliminary information until their full application can be processed. Under this strategy, applicants can get immediate coverage instead of waiting weeks or possibly longer for official approval.
  • Express Lane Eligibility – this strategy uses eligibility information from other assistance programs to qualify applicants for Medicaid. For example, if a family applies for Supplemental Nutrition Assistance Program (SNAP), Headstart, the Women, Infants, and Children (WIC) program, or a free or reduced school lunch program, that family can automatically be qualified for Medicaid.
  • Continuous Eligibility – this enrollment strategy is used primarily with children. This program will enroll children for 12 consecutive months regardless of changes in the family’s income.

Apply for Medicaid - Start Here

Contact your state Medicaid office (see state program information below). Getting approved for Medicaid can take time, so start the application process as soon as there is a clear need. Most offices allow you to apply or at least start your request online. You may need to go into one of their offices for an interview as part of the application process. Have all your needed verification documents ready.

Eligibility factors include income, residency, age, citizenship, immigration status, household composition, and pregnancy. The exact verification documents you will need will vary based on what state you are in. However, be prepared to have any proof of income, proof of residency, your social security card, and immigration status confirmation documents on hand (if applicable). Generally, household composition and pregnancy status do not require formal verification.

Eligibility may be determined by a number of factors, and those factors may vary from state to state. The Affordable Care Act and other federal regulations have established a data-driven approach to the verification process of financial and non-financial information needed to determine eligibility. The goal has been to reduce a number of paper documents individuals are required to provide in order to determine eligibility.

Medicaid Eligibility for Persons with Disabilities

Individuals that are unable to work due to a disability may receive cash assistance through the Supplemental Security Income (SSI) program. Qualifying for SSI automatically qualifies you for Medicaid in most states, but not all. The federal government requires all states to offer Medicaid to low-income disabled individuals. However, states are still allowed to set their own income eligibility requirements. Ten states, referred to as the 209(b) states have set income requirements that are more restrictive than SSI requirements. This means that individuals receiving SSI are not guaranteed Medicaid. They have to apply separately and be approved. These ten states are Connecticut, Hawaii, Illinois, Minnesota, Missouri, New Hampshire, North Dakota, Ohio, Oklahoma, and Virginia.

For individuals with a disability that have not been qualified for SSI, there are still options to qualify for Medicaid. Most states allow individuals with an impairment to prove that their impairment has prevented them from being able to work for at least one year. Once this is proven, the individual will be able to apply under the income and asset requirements for people with disabilities.

Medicaid's Dual Eligibility with Medicare

Elderly and disabled individuals that receive Medicare can still qualify for Medicaid based on income and disability. Medicaid can then be used to cover expenses not covered by Medicare. For expenses that may be covered under both programs, they must be paid first through Medicare, and Medicaid can be used to cover the difference. The dual eligibility standards are different than the Medicaid eligibility standards. The following income tables show the monthly income limits for dual eligibility for low income elderly and disabled individuals and couples.

Low-Income Medicare Beneficiary:

Monthly Income Limits:

All States & DCExcept Alaska and Hawaii $1197 $1613
Alaska $1492 $2012
Hawaii $1375 $1853
Asset Limit $7280 $10930

Qualified Disabled Working Individual

Monthly Income Limits: (200% FPL + $20)*

All States & DCExcept Alaska and Hawaii $4009 $5395
Alaska $4992 $6725
Hawaii $4602 $6195

Citizenship Eligibility - Can Immigrants or Non-Citizens Qualify for Medicaid?

All US citizens that meet the other requirements are eligible for Medicaid. The following groups are also eligible for Medicaid.

  • Qualified non-citizens who entered the US prior to August 1996
  • Qualified immigrants who have finished the five-year waiting period
  • Qualified immigrants who are exempt from the five-year waiting period. This category includes refugees, trafficking victims, veteran families, and Asylees.

A qualified non-citizen includes lawful present residents or green card holders, those entering the country from Cuba or Haiti, battered spouses and children, victims of human trafficking, refugees, and the spouses and children of active military or veterans. Many of the qualified non-citizen groups are also exempt from the five-year waiting period.

Lawfully present residents include those with Humanitarian status, valid non-immigrant visa holders, and those whose legal status was conferred by the following laws: temporary resident status, LIFE Act, Family Unity Individuals, and lawful residents in American Samoa and the Northern Mariana Islands.

Retroactive Medicaid Eligibility

Depending on the state, eligibility can be retroactive up to three months prior to when you applied as long as you demonstrate that you were eligible during the prior three months. This can help to cover medical costs already accrued. Coverage ends your last month of eligibility.

Income is the baseline eligibility marker. All states decide where the cutoff is for Medicaid eligibility, and this amount is determined by both the size of the family and the age of the individuals applying. It is possible that a family may apply, but only the children qualify. This leaves the parents uninsured. The state eligibility charts include the MAGI for eligibility, as well as the MAGI reflected in monthly income based on the size of the household.

State Medicaid Eligibility Requirements, Outlined

Alabama (AL) Medicaid Eligibility

The Alabama Medicaid program is administered by the Alabama Medicaid Agency.  Like all state Medicaid programs, the Alabama program has income requirements that must be met in order to qualify for the different programs it offers.

Which Medicaid plan is best in Alabama?

The best Alabama Medicaid plan for you depends on your age, income, and medical needs.  Review the AL Medicaid program requirements listed on their website, and you can begin the application process for Medicaid in Alabama at the application link listed here.

Apply for Medicaid in Alabama online at: Alabama Medicaid Application

Alaska (AK) Medicaid Eligibility

The Medicaid program in Alaska is controlled by the Alaska Division of Health Care Services.  Similar to other state programs, Alaska reviews applicants modified adjusted gross income (MAGI) as a primary qualifier for different AK Medicaid programs.

Which Medicaid plan is best in Alaska?

Finding the best Alaska Medicaid plan will primarily depend on your age, family makeup, and specific medical conditions.  The income requirements for the state of Alaska are listed on their website based on the size of your family.

You can begin the application process for AK Medicaid here: Apply for Alaska Medicaid

Arizona (AZ) Medicaid Eligibility

The Arizona-based Medicaid program covers various health costs for individuals who live in Arizona and meet income requirements, amongst other criteria.  AZ Medicaid is administered by the Arizona Health Care Cost Containment System.

Which Medicaid plan in best in Arizona?

The best Medicaid plan in Arizona (AZ) for you will depend on your health status, age, and medical treatment needs.  Special programs are in place for Medicaid dental plans, as well as Arizona Medicaid programs for pregnant women and young parents.

Apply online for the Arizona Medicaid program here: Arizona Medicaid Application

Arkansas (AR) Medicaid Eligibility

Arkansas’ Medicaid program is managed by the Department of Human Services (DHS), and assists with costs of medically necessary services for low-income households. Residents qualify based on income requirements. 

Which Medicaid plan is best in Arkansas?

The Medicaid plan available to you depends on income, health needs and other criteria. Arkansas also provides the ARKids First program, which offers Medicare benefits for children, even cases where parents do not qualify for Medicaid coverage.

You can apply for Medicaid in Arkansas online.

Arkansas Medicaid Application:

California (CA) Medicaid Eligibility

In California, Medicaid goes by the name Medi-Cal. This program covers the cost of medical services for people with low to limited incomes. Many people enrolled in Medi-Cal pay nothing for their health insurance, while other families may pay a small monthly premium.

Which Medicaid plan is best in California?

Medi-Cal is made up of several other programs that provide resources and help for families based on their income and medical situation. Medi-Cal offers more than 20 health plans, which vary based on what part of the state you live in. Your best options will be determined by region, income and health needs.  

Apply for the Medi-Cal program by completing the online application, by mail, or in person.

California Medicaid Application:

Colorado (CO) Medicaid Eligibility

Health First Colorado is the Centennial State’s form of Medicaid. Those who qualify my have access to primary care, dental work, maternity and newborn care, and other preventative services at little to no cost. In Colorado, Medicaid benefits depend on monthly income, and in some cases may require you to pay a co-payment per doctor’s visit.

Which Medicaid plan is best in Colorado?

Health First Colorado provides a variety of benefits based on your individual health circumstances. The state also offers additional programs for children, pregnant women, and individuals with special needs.

Learn more and apply for Medicaid benefits in Colorado at the Health First Colorado site.

Colorado Medicaid Application:

Connecticut (CT) Medicaid Eligibility

Connecticut’s Medicaid program is called HUSKY Health, and provides healthcare coverage for children and adults. Many health services covered include vision care, dental visits, prescription medications, and doctor visits. Because HUSKY Health assists low-income households, it is often free or available for a minimal cost.

Which Medicaid plan is best in Connecticut?

HUSKY Health is broken into four programs — A, B, C, and D — based on your age, ability level, and other factors. Available benefits are based on these groups, and may be limited if you do not specifically qualify. 

Applying for HUSKY Health can be done online or over the phone. 

Connecticut Medicaid Application:

Delaware (DE) Medicaid Eligibility

Delaware’s Medicaid program is available to many state residents, including low-income families, people who have some other forms of health insurance, and pregnant women and children. Benefits vary based on your unique situation, but the state does offer additional programs, such as the Delaware Healthy Children program, that help families that only partially qualify. 

Which Medicaid plan is best in Delaware?

In Delaware, benefits are provided through a Managed Care Organization (MCO) plan, which works to ensure you receive quality care. You will be able to choose your MCO plan after applying for Medicaid, and can make the decision based on doctors you currently visit.

To apply for Medicaid benefits in the state of Delaware, visit the Delaware ASSIST website.

Delaware Medicaid Application:

District of Columbia (DC) Medicaid Eligibility

Residents of Washington DC can apply for DC Medicaid, which covers healthcare costs for qualifying people who have disabilities or reduced incomes. Many services covered include vision care, doctor visits, hospice services, medical supplies, and organ transplants.

Which Medicaid plan is best in Washington DC?

Medicaid benefits in Washington DC vary based on your personal situation and health needs. In most cases, you will still be able to visit your doctor of choice, so long as they accept Medicaid payments. DC Medicaid also provides additional programs for people with developmental and physical disabilities, as well as seniors.

Applying for DC Medicaid requires you to make an in-person visit to an Income Maintenance Administration (IMA) Service Center. You can find your nearest center here.

District of Columbia Medicaid Application:

Florida (FL) Medicaid Eligibility

In Florida, Medicaid services and benefits are managed by the Agency for Health Care Administration, though two other agencies determine your eligibility: the Department of Children and Families (DCF) or the Social Security Administration (SSA). If either agency disqualifies your application, you will be automatically referred to the Federally Facilitated Marketplace or the Florida Healthy Kids program to apply for health insurance assistance.

Which Medicaid plan is best in Florida?

Your Florida Medicaid benefits may be determined by family need (such as healthcare needs by children or pregnant women), your individual health situation, age and income. In Florida, Medicaid programs are also provided for disabled individuals, foster children, and for non-citizens in emergency health situations.

You can apply for Florida’s Medicaid benefits online. 

Florida Medicaid Application:

Georgia (GA) Medicaid Eligibility

Georgia provides Medicaid services through the Department of Community Health (DCH). For some families, coverage is free of charge, while others may pay a small monthly premium based on their income.  Read our guide to Georgia Medicaid eligibility here.

Which Medicaid plan is best in Georgia?

In Georgia, Medicaid offers several programs for specific situations, such as Long-Term Care, Planning For Healthy Babies, Non-Emergency Transportation, and PeachCare for Kids. The state also provides Medicaid coverage for low-income women with breast or cervical cancer. Georgia also offers Medicare Savings Plans that help with the cost of your premium, co-insurance and deductible.

You can begin the application process for Georgia Medicaid benefits here.

Georgia Medicaid Application:

Hawaii (HI) Medicaid Eligibility

In Hawaii, Medicaid benefits help children, pregnant women, disabled individuals, caretakers and seniors with the cost of healthcare. Hawaii counts not only income, but also your living arrangements, family size, and other factors when determining if you are eligible for coverage. 

Which Medicaid plan is best in Hawaii?

The Department of Human Services manages the Medicaid program in Hawaii. Depending on your health needs and financial situation, you may qualify for free or low-cost health insurance plans. People who do not qualify may apply for insurance programs through Hawaii Health Connector, which allows you to select a health insurance plan that may fit your needs and budget.

To determine if you are eligible and to apply for Medicaid benefits, visit the Hawaii MyBenefits website.

Hawaii Medicaid Application:

Idaho (ID) Medicaid Eligibility

Medicaid benefits in Ohio are managed by the Department of Health and Welfare. The state also offers a Health Coverage Assistance program to help families that do not qualify based on income, such as the Children’s Health Insurance Program (CHIP) or the Advance Payment of Premium Tax Credit (APTC), which helps with the upfront costs of insurance plans.

Which Medicaid plan is best in Idaho?

Idaho offers four kinds of Medicaid plans based on your health needs. The Standard Plan offers the mandatory health coverage benefits, while the Basic, Enhanced, and Medicare Medicaid Coordinated Plans provide different benefits based on family size, disabilities, and other factors.

You can apply for Idaho Medicaid Benefits here.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Idaho Medicaid Application:

Illinois (IL) Medicaid Eligibility

The Illinois Department of Healthcare and Family Services manages Medicaid benefits in the state. Most people who receive Medicaid benefits through the state are covered for preventative doctors’ visits and dental care, immunizations, mental health services, substance abuse, and other needs. Coverage is limited based on your need level. 

Read our guide to Medicaid Illinois Eligibility here.

Which Medicaid plan is best in Illinois?

Along with providing Medicaid benefits, Illinois provides a wide range of programs for individuals and families with special needs, such as benefits for former foster care children, coverage for low-income women with breast or cervical cancer, Medicare Cost Sharing, and care for individuals with hemophilia. These options may help you with additional costs not covered by your Medicaid plan.

Apply for benefits by visiting the online Application for Benefits Eligibility (ABE) website.

Illinois Medicaid Application:

Indiana (IN) Medicaid Eligibility

Like all states, Indiana determines Medicaid eligibility based on your income, family size and age. The Department of Family and Social Services also considers your medical needs, as well as resources available to you (such as your home and vehicle).

Which Medicaid plan is best in Indiana?

Indiana provides several programs with different benefits that may best fit you or your family based on your individual needs. While the Traditional Medicaid program is available, the state also offers Hoosier Healthwise (for children and pregnant women), Hoosier Care Connect (seniors, blind, and disabled people), and Healthy Indiana Plan (HIP) for low-income people who do not qualify for Medicaid.

Indiana allows residents to apply for Medicaid benefits online, by phone, or in person.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Indiana Medicaid Application:

Iowa (IA) Medicaid Eligibility

Iowa will determine if you are eligible for Medicaid benefits based on your income. The state also offers coverage for children of low-income families, people with disabilities, pregnant women, and seniors. 

Which Medicaid plan is best in Iowa?

Most people receiving Medicaid benefits in Iowa are enrolled in the IA Health Link managed care program. This allows you to choose your provider based on you or your family’s needs. The state also offers Hawk-I, a children’s health insurance program. In some cases, people eligible for benefits are enrolled in the Medicaid Fee-for-Service (FFS) plan, which provides a variety of plan options based on health needs and income.

You can apply for benefits by here. 

Iowa Medicaid Application:

Kansas (KS) Medicaid Eligibility

Kansas provides Medicaid benefits (called KanCare) through its Medical Assistance Program. Eligibility is determined by income level and health needs, such as childhood care, pregnancy or disability. 

Which Medicaid plan is best in Kansas?

Your plan choices depend on your eligibility level for Medicaid assistance. Kansas provides plans for children through it’s Children’s Health Insurance Program (CHIP) that are available to families for no to limited cost. Pregnant women, parents and caregivers, seniors, and people with disabilities also may face additional eligibility requirements that impact their level of benefits.

To apply for Kansas Medicaid benefits, visit the KanCare website.

Kansas Medicaid Application:

Kentucky (KY) Medicaid Eligibility

Medicaid eligibility in Kentucky is based on your income, health needs, and other resources available to you (such as assets, insurance, and personal property). Recent expansions in eligibility requirements allow more people to qualify. In most cases, Medicaid eligibility is possible for children, pregnant women, low-income adults, and foster care children.

Which Medicaid plan is best in Kentucky?

Kentucky’s Medicaid programs vary based on your eligibility status and personal needs. Programs include KCHIP (which covers childcare health costs), Medicaid Works (for working people with disabilities), Women’s Cancer Screening, and Presumptive Eligibility (for pregnant women). These programs may have additional eligibility requirements to qualify.

There are multiple ways to apply for Kentucky Medicaid Benefits, including online, through the phone, by mail, or at a local Department of Community Based Services office.

Kentucky Medicaid Application:

Louisiana (LA) Medicaid Eligibility

In Louisiana, Medicaid eligibility is determined by the Department of Health. Income is the largest determining factor, though family size and ability level are also used to determine if you are eligible.

Which Medicaid plan is best in Louisiana?

Louisiana offers several Medicaid programs, including those for families with disabled children, pregnant women, children, workers with disabilities, and those with mental illnesses. The state also offers Medicare Savings Programs that help with the costs of Medicare costs, as well as family planning service coverage. Access to these additional programs is determined by other sets of eligibility requirements.

Apply online by at the Louisiana Medicaid Self Service Portal. 

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Louisiana Medicaid Application:

Maine (ME) Medicaid Eligibility

In Maine, Medicaid is referred to as MaineCare. Those who are eligible (based on income level and health needs) may receive healthcare coverage free of cost or for a small co-payment at their doctor’s office.

Which Medicaid plan is best in Maine?

The level of coverage you receive is based on qualifying financial and medical requirements. In many cases, MaineCare coverage can also be purchased for infants and children even if your family income increases. Maine also provides a Private Health Insurance Premium (PHIP) program that helps with the cost of employer-provided health insurance.

You can apply for MaineCare online, by mail, over the phone, or in person.

**The state of Maine's Medicaid program covers some 19 and 20-year-olds.

Maine Medicaid Application:

Maryland (MD) Medicaid Eligibility

The Department of Health and Mental Hygiene manages the Medicaid program in Maryland. To qualify, you must be a resident, be considered low-income, and in some cases meet particular medical requirements (for people seeking cost coverage of long-term care).

Which Medicaid plan is best in Maryland?

The kind of Medicaid coverage you qualify for will depend on your financial and medical needs. Maryland offers Medicaid programs that help with the cost of pregnancy, child healthcare, disabilities, senior care, and people who require long-term care in a nursing facility.

Apply for Maryland Medicaid here.

Maryland Medicaid Application:

Massachusetts (MA) Medicaid Eligibility

Massachusetts’ Medicaid program is called MassHealth. Eligible residents — who meet particular health, financial, or need-based requirements — are able to receive help with the cost of doctor’s visits, routine care, hospital stays, and prescriptions.

Which Medicaid plan is best in Massachusetts?

MassHealth provides several different coverage plans, including Standard, CommonHealth (some disabled adults and children), CarePlus (adults who do not qualify for Standard), Family Assistance (families ineligible for Standard), and Limited (emergency services for non-citizens). 

You can apply online through the Department of Health and Human Services website.

Massachusetts Medicaid Application

Michigan (MI) Medicaid Eligibility

Michigan provides Medicaid benefits and medical assistance to residents who cannot afford the cost of healthcare. Eligibility requirements are based on income levels and individual health circumstances.

Which Medicaid plan is best in Michigan?

The kind of medical care cost assistance you receive in Michigan greatly depends on your personal application and what you qualify for. Multiple programs exist for children’s healthcare, including MIChild and U-19, as well as for pregnant women, adults, low-income families, and those with disabilities.

Submit your application for benefits here.

Michigan Medicaid Application:,5885,7-339-71551_7338---,00.html

Minnesota (MN) Medicaid Eligibility

Medical Assistance is the Minnesota program for Medicaid. You must be a state resident and meet the financial income requirement. In addition, assets — such as vehicles, your home, or investments — will also be taken into consideration.

Which Medicaid plan is best in Minnesota?

After qualifying for Medical Assistance, you will be able to choose from several health plans that fit your needs, based on providers and availability in your area. If you choose not to — or do not qualify for — the choice of healthcare plan, your healthcare will be covered as a fee-for-service, meaning your doctors will bill the state of Minnesota directly for care you receive.

Apply for Minnesota Medical Assistance through the Department of Human Services.

Minnesota Medicaid Application:

Mississippi (MS) Medicaid Eligibility

The Mississippi Division of Medicaid handles all medical cost assistance services in the state. In most cases, children from low-income families, pregnant women, people with disabilities, and seniors needing long-term care can qualify for benefits, granted they also meet the financial requirements.

Which Medicaid plan is best in Mississippi?

If you receive full Medicaid health benefits, you can expect prescriptions, eyeglasses, doctor’s visits, and other services to be covered. Additional programs, for children, mental health needs, and women’s care can also help with the cost of further needs.

Submit your application for Mississippi Medicare benefits here.

Mississippi Medicaid Application:

Missouri (MO) Medicaid Eligibility

Missouri’s Medicaid program is called MO HealthNet. Many seniors, people with disabilities, pregnant women, children, and low-income individuals qualify for assistance with healthcare cost. Women with some cancers also qualify.

Which Medicaid plan is best in Missouri?

What MO HealthNet plans and programs you qualify for depends upon your health and financial needs. For some applicants, you may receive free coverage, while others may assist with some costs of the medical services they receive.  

You can begin the application process by determining if you are eligible, here.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Missouri Medicaid Application:

Montana (MT) Medicaid Eligibility

Montana provides Medicaid benefits that can help you with the cost of healthcare coverage if you are unable to afford it. If you qualify based on financial requirements (listed below), you can receive help paying for a variety of health-related services.

Which Medicaid plan is best in Montana?

Montana offers several healthcare programs that you may qualify for, along with other forms of Medicaid coverage. Many of these additional programs are targeted towards pregnant women, people with disabilities, children and those who require assisted living facilities. The best way to determine the plan you qualify for is to begin the application process. 

Submit your Medicaid application online.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Montana Medicaid Application:

Nebraska (NE) Medicaid Eligibility

Nebraska, like most states, requires you to meet particular income requirements to qualify for Medicaid assistance. In some cases, pregnant women, children, seniors, and people with disabilities can also qualify for benefits.

Which Medicaid plan is best in Nebraska?

The Medicaid plan or program you qualify for depends on your financial resources and health concerns. In many cases, children can receive coverage even if parents are outside of the income threshold. If you qualify, you can expect benefits to cover preventative care, doctor’s visits, as well as particular health needs that you can’t afford.

Nebraska residents can apply for Medicaid assistance online.

Nebraska Medicaid Application:

Nevada (NV) Medicaid Eligibility

The Division of Welfare and Supportive Services handles all Medicaid benefits in Nevada. Low-income individuals and families often qualify, as well as uninsured pregnant women, people with disabilities, and some seniors.

Which Medicaid plan is best in Nevada?

Your eligibility level will impact how much coverage you receive, and what you pay out of pocket. In some cases, you may pay a small portion of the cost of medical services, prescriptions or other health needs. Nevada also provides several programs that you may qualify for based on health concerns or special needs.

You can submit an application for benefits online. 

Nevada Medicaid Application:

New Hampshire (NH) Medicaid Eligibility

Eligibility for Medicaid services in New Hampshire is generally based on your Modified Adjusted Gross Income (MAGI). In some cases, MAGI won’t be used to determine if you qualify for special programs; in these instances, the Department of Health and Human Services will review your family size, home situation, and other financial resources.

Which Medicaid plan is best in New Hampshire?

Medicaid plans and programs in New Hampshire are based on specific needs and other factors, such as age, ability level, and health condition. You or your family may qualify for some services, such as Children’s Medicaid, coverage for pregnant women, or services for seniors.

You can learn more about applying for assistance here.

New Hampshire Medicaid Application:

New Jersey (NJ) Medicaid Eligibility

To qualify for Medicaid benefits in New Jersey — called NJ FamilyCare —  you must be a resident of the state. You must also meet another requirement: you have children, are a person who is 65 years or older, be blind or permanently disabled, or pregnant.

Which Medicaid plan is best in New Jersey?

New Jersey offers several Medicaid programs that can help cover medical costs based on your level of need, including dental care, mental health treatments, prescriptions, and health services. The state’s Medicaid system works through FamilyCare Health Plans that help undertake costs.

Apply for New Jersey Medicaid benefits online at the FamilyCare website.

New Jersey Medicaid Application:

New Mexico (NM) Medicaid Eligibility

In New Mexico, Medicaid eligibility is partially based on your household income, as well as other medical needs you may have (such as a disability or pregnancy). You must be a resident of the state to qualify for Medicaid. 

Which Medicaid plan is best in New Mexico?

Many adults who receive Medicaid benefits are entitled to the New Mexico Alternative Benefit Plan (ABP). Though other recipients with special needs — such as disabilities or serious medical conditions — qualify for the state’s Standard Medicare plan. How you and your family qualify depends on your particular needs and financial situation.

You can submit an application through the YesNM website.

New Mexico Medicaid Application:

New York (NY) Medicaid Eligibility

New Yorkers who apply for Medicaid benefits must have income that is determined at or below poverty level. In addition, the state will consider your application if you have high medical bills or receive Supplemental Security Income.

Which Medicaid plan is best in New York?

In many cases, Medicaid will cover most of the costs of your healthcare, though in New York, the program may require you to pay co-payments for some services. You will also be required to select a Managed Care Health Plan that includes doctors in your region or offices you already visit regularly.

You can apply for New York Medicaid benefits through several state agencies.

New York Medicaid Application:

North Carolina (NC) Medicaid Eligibility

Beyond the standard financial requirement, North Carolina looks at several factors in determining whether your application for benefits will be accepted. These include family size, need for long-term care, ability level, and if you receive Medicare. 

Which Medicaid plan is best in North Carolina?

North Carolina provides different levels of coverage based on the above-mentioned factors, as well as other benefits for children and pregnant women. What coverage you qualify for depends on your level of medical and financial need.

You’ll need to submit an online application to the Department of Health and Human Services. 

North Carolina Medicaid Application:

North Dakota (ND) Medicaid Eligibility

The North Dakota Department of Human Services provides assistance with Medicaid enrollment. You must be a North Dakota resident and U.S. citizen. While the state requires you to meet certain financial guidelines, assets such as your home or vehicle will not be counted against your application.

Which Medicaid plan is best in North Dakota?

North Dakota provides a range of Medicaid-related services that you may qualify for based on your health or financial needs. In some cases, you may be required to pay a co-payment for any medical services you receive, though there are exceptions (such as pregnancy or being younger than 21).

You can apply for benefits online, through the mail, or in person.

North Dakota Medicaid Application:

Ohio (OH) Medicaid Eligibility

In Ohio, low-income individuals, pregnant women, infants and children, seniors, and people with disabilities can qualify for Medicaid benefits. In addition, you must also meat income qualifications to receive assistance with the cost of healthcare.

Which Medicaid plan is best in Ohio?

Ohio provides several Medicare-related programs that can help with the cost of doctor’s visits and other medical services. Families can qualify for the Healthy Start or Healthy Families programs, which insure children, pregnant women, and low-income families. The state also offers additional programs for those who require care as they age with or without disabilities.

You can apply for Medicaid benefits through the Department of Medicaid website.

Ohio Medicaid Application:

Oklahoma (OK) Medicaid Eligibility

Oklahoma’s Medicaid program is called SoonerCare. This state assistance program covers children under age 19, adults with children, pregnant women, seniors, and people with disabilities. To qualify, you must also be considered a low-income household.

Which Medicaid plan is best in Oklahoma?

Several programs are a part of SoonerCare, and are created to help with specific needs, including Aged, Blind and Disabled; Family Planning; Health Care for Children with Disabilities (TEFRA); and Health Screening, Diagnosis and Treatment (EPSDT). Your application will determine if you qualify for any of these specific programs. 

To apply for Medicaid benefits in Oklahoma, you must visit a Department of Human Services office in person.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Oregon (OR) Medicaid Eligibility

Oregon’s Medicaid program is called the Oregon Health Plan (OHP). Applicants must meet the requirements for having limited income, and in many cases children in low-income homes can qualify even if parents do not.

Which Medicaid plan is best in Oregon?

OHP helps Oregon low-income Oregon residents with the costs of doctor’s visits, prescription medications, mental healthcare, dental care, and addiction treatment. OHP provides three plans — Plus, Plus Supplemental, and OHP with Limited Drug — that provide various benefits depending on age, pregnancy, and Medicare access.

You can learn more about OHP benefits and apply online at the Oregon Health Authority website.

Oregon Medicaid Application:

Pennsylvania (PA) Medicaid Eligibility

Pennsylvania calls its Medicaid program Medical Assistance (MA). Your financial situation — specifically your annual income — is one of the largest determinants of your ability to receive Medical Assistance benefits.

Which Medicaid plan is best in Pennsylvania?

Medical Assistance provides help with covering many costs for low-income individuals, though it has many related programs that are also available to those who do not qualify, such as dental services and long-term care assistance. Your specific benefits will be determined by your eligibility.

Submit your application for benefits here.

Pennsylvania Medicaid Application:

Rhode Island (RI) Medicaid Eligibility

Rhode Island provides Medicaid benefits to assist low-income individuals and families, as well as seniors and people with disabilities, in receiving the healthcare they need. 

Which Medicaid plan is best in Rhode Island?

Rhode Island provides many Medicaid-related programs that help low-income households with healthcare costs, though like many states, what benefits are available to you depends on your health needs and financial situation.

You can apply for Rhode Island Medicaid assistance by completing an online application.

Rhode Island Medicaid Application:

South Carolina (SC) Medicaid Eligibility

South Carolina refers to its Medicaid program as Healthy Connections. In most cases, your eligibility is determined based on income and any assets you have available to you (such as investments and personal property). Certain health situations can also make you eligible.

Which Medicaid plan is best in South Carolina?

Health Connections offers many coverage options, which are based on you or your family’s particular health needs. These vary from coverage for pregnant women and infants to disabled workers and women with some cancers. After applying, you’ll learn what programs or coverage levels you qualify for.

You can apply for the Healthy Connections program by submitting an online application, over the phone, or in person.

South Carolina Medicaid Application:

South Dakota (SD) Medicaid Eligibility

South Dakota’s Medicaid eligibility is based on your income, just like most other states. In some cases, your health situation can also be a factor in the decision.

Which Medicaid plan is best in South Dakota?

South Dakota’s Medicaid plans and programs vary greatly depending upon your financial situation and the amount of care you require. In most cases, it is difficult to pre-determine what programs are your best fit prior to submitting an application, though it is important to know that specific programs are available for some health conditions, such as pregnancy, cancer, and disability. 

To see if you qualify, submit your application of Medicaid benefits online.

South Dakota Medicaid Application:

Tennessee (TN) Medicaid Eligibility

TennCare, or Tennessee’s version of Medicaid, is available to many low-income and special needs residents of the state. Like most other Medicaid programs, your income will be a larger determinant of your ability to receive benefits.

Which Medicaid plan is best in Tennessee?

TennCare provides help with many healthcare costs, though it is difficult to say specifically what your individual benefits will be. People eligible for TennCare are grouped into one of 12 categories that determine your benefits and what you are entitled to (called a benefit indicator). This indicator allows doctors to know what services are covered under TennCare, and what you may have to pay a co-pay for.

To enroll in TennCare, submit an online application or apply over the phone.

Tennessee Medicaid Application:

Texas (TX) Medicaid Eligibility

Health and Human Services manages Texas’ Medicaid program. The program, along with the children’s version (Children’s Health Insurance Program) are limited to low-income households, seniors over age 65, caretakers of disabled individuals, and other related situations.  Review our guide to Texas Medicaid here.

Which Medicaid plan is best in Texas?

Texas offers five different Medicaid plans — STAR, STAR+Plus, STAR Kids, STAR Health, and Traditional Medicaid. These programs have different benefits and options that can help cover the cost of medical expenses. In Texas, most Medicaid plans are provided through Managed Care Organizations (MCOs) that help you receive quality care based on benefits that you are entitled to.

You can apply for Medicaid in Texas online, over the phone, or in person.

Texas Medicaid Application:

Utah (UT) Medicaid Eligibility

Qualifying for Medicaid benefits in Utah requires you to meet requirements for income and state residency. It’s important to know that you must qualify each month that you receive benefits to have continued coverage.

Which Medicaid plan is best in Utah?

Utah offers many Medicaid programs, ranging from care for children and pregnant women to individuals with disabilities, blindness, cancer, or emergency needs. Senior services and long-term care are also available, though the kind of coverage you receive will depend upon your monthly eligibility.

Utah residents can apply for Medicaid benefits online, by mail or in person at a Department of Workforce Services office.

*The state provides Medicaid coverage for some low-income adults. It is not offered to all residents and includes limitations on eligibility and coverage.

Utah Medicaid Application:

Vermont (VT) Medicaid Eligibility

The Department of Vermont Health Access manages the state’s Medicaid assistance programs. This agency will determine if you qualify for Medicaid based on your income and healthcare needs (such as a disability or pregnancy). 

Which Medicaid plan is best in Vermont?

Vermont offers several Medicaid programs. The traditional Medicaid coverage covers low-income families, seniors, and those with disabilities, at no cost; The Dr. Dynasaur program offers free to low-cost health coverage for children and pregnant women. In some cases, the Dr. Dynasaur program may require a monthly premium.

To learn more about Vermont’s Medicaid benefits and to apply, visit Vermont Health Connect.

Vermont Medicaid Application:

Virginia (VA) Medicaid Eligibility

You may qualify for Medicaid benefits in Virginia if you are a state resident with little to no income. In addition, you must also be pregnant, a parent or caretaker, living in a nursing facility, disabled, or over age 65.

Which Medicaid plan is best in Virginia?

What benefits you qualify for in Virginia — that is, the kind of health insurance coverage you receive — depends on your specific application. Virginia offers several Medicaid plans and programs based on your health needs, family needs, and other factors.

Applying for Medicaid in Virginia can be done online.

Virginia Medicaid Application:

Washington (WA) Medicaid Eligibility

The Washington Department of Social and Health Services is responsible for managing Medicaid benefits. This agency will determine if you qualify for benefits based on your income status and other factors such as age or disability.

Which Medicaid plan is best in Washington?

Washington has several Medicaid programs available, including Apple Health for children and families, as well as the Pregnancy Medical Program. The state also offers other plans for seniors and people with disabilities. What program you and your family qualify for depends on your particular financial or health situation.

Apply for Washington Medicaid benefits here.

Washington Medicaid Application:

West Virginia (WV) Medicaid Eligibility

In West Virginia, it’s up to the Department of Health and Human Resources to determine your Medicaid eligibility. As with most states, your income and health needs will be the largest determining factors. 

Which Medicaid plan is best in West Virginia?

The Medicaid plan you qualify for will be determined based on your family size and children’s needs, age, health needs (such as pregnancy or a disability), as well as income. With some plans, you may be required to pay small co-pays to assist with healthcare costs.

There are several ways to apply for Medicaid in West Virginia, including online.

West Virginia Medicaid Application:

Wisconsin (WI) Medicaid Eligibility

BadgerCare Plus is one of Wisconsin’s Medicaid program. It is limited to low-income households. Traditional Medicaid is available to seniors, disabled individuals, and other specific groups based on financial need.

Which Medicaid plan is best in Wisconsin?

Wisconsin provides many Medicaid options, including BadgerCare Plus, traditional Medicaid, and other programs such as Wisconsin Well Woman. Your specific plan will be determined after you apply, based on your needs and finances.

To apply for BadgerCare Plus or another Medicaid program in Wisconsin, you must fill out an online application or submit one by mail.

Wisconsin Medicaid Application:

Wyoming (WY) Medicaid Eligibility

Wyoming offers Medicaid services through its Department of Health. You must be a low-income state resident to qualify, and your family status, health needs and other factors are considered during the application process.

Which Medicaid plan is best in Wyoming?

Wyoming offers a variety of medical assistance programs, including several for children, pregnant women, and senior citizens. The state also offers more specialized plans for individuals with some kinds of cancer, workers with disabilities, parents or caretakers, and emergency services. What level of coverage you qualify for will depend on your particular situation.

You can submit an application for Wyoming Medicaid online, over the phone or through the mail. 

Wyoming Medicaid Application:

Medicaid for Different Groups

While Medicaid programs vary by state, they also can vary with the amount of aid and program benefits provided to different groups.  Here we have listed some of the most common groups and different types of medical needs that Medicaid looks to support.

  • Medicaid For Dogs
  • Medicaid For Cancer Patients
  • Medicaid For Braces
  • Medicaid For Permanent Residents
  • Medicaid For Newborns
  • Medicaid For Illegal Immigrants
  • Medicaid For Assisted Living
  • Medicaid For Dental Health
  • Medicaid For Pregnancy and Pregnant Mothers
  • Medicaid For Providers
  • Medicaid For Immigrants
  • Medicaid For Nursing Home Residents
  • Medicaid For College Students
  • Medicaid For the Disabled
  • Medicaid For Seniors
  • Medicaid For Adults
  • Medicaid For Children

Kansas provides Medicaid benefits (called KanCare) through its Medical Assistance Program. Eligibility is determined by income level and health needs, such as childhood care, pregnancy or disability.

Which Medicaid plan is best in Kansas?
Your plan choices depend on your eligibility level for Medicaid assistance. Kansas provides plans for children through it’s Children’s Health Insurance Program (CHIP) that are available to families for no to limited cost. Pregnant women, parents and caregivers, seniors, and people with disabilities also may face additional eligibility requirements that impact their level of benefits.

To apply for Kansas Medicaid benefits, visit the KanCare website.

Eligibility Team
Written by
Eligibility Team
We are a team of experts dedicated to finding the right government programs for you. Our mission is simple: help people quickly and easily understand which programs they might be eligible for—all in one place. Our team is dedicated to researching and providing you with the most relevant information. We compile only the most trusted information from government sources into one place so you can find the facts you need and skip what you don’t.
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