Introduction

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

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 prohit states from charging certain enrollees or charging any enrollees for certain services, each state has the power to establish out-of-pocket expenses for enrolles. 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 desgined to encourage people to choose generic versions of the more costly medications.

Emergency Room Visits

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.

Enrollment Strategies

Enrollment strategies 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

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 Terms

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
100%
120%
140%
150%
175%
200%
250%
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
$71,025
6
$32,570
$39,084
$45,598
$48,855
$56,997.50
$65,140
$81,425
7
36,730
$44,076
$51,422
$55,095
$64,277.50
$73,460
$91,825

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.

Mandatory Benefits
Optional Benefits
  • 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
  • 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.

Premiums

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

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

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.

How to Apply

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.

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.

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 covere 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 diasabled individuals and couples.

Low-Income Medicare Beneficiary:

Monthly Income Limits: (120% FPL + $20)*


Individual
Couple
All States & DC
Except 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)*


Individual
Couple
All States & DC
Except Alaska and Hawaii
$4009
$5395
Alaska
$4992
$6725
Hawaii
$4602
$6195
Asset Limit
$4000
$6000

Citizenship Eligibility

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 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.

Alabama

 http://www.medicaid.alabama.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 141%
 141%
 141%
 141%
 13%
 0%
 Family of 1
 $1371
 $1371
 $1371
 N/A
 $126
 0
 Family of 2
 $1848
 $1848
 $1848
 $1848
 $170
 0
 Family of 3
 $2325
 $2325
 $2325
 $2325
 $214
 0
 Family of 4
 $2802
 $2802
 $2802
 $2802
 $258
 0


Alabama Medicaid Application: http://www.medicaid.alabama.gov/CONTENT/3.0_Apply/

Alaska

http://dhss.alaska.gov/dpa/pages/medicaid/default.aspx

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 203%
 203%
 203%
 200%
 129%
 0%
 Family of 1
 $2466
 $2466
 $2466
 N/A
 $1567
 0
 Family of 2
 $3326
 $3326
 $3326
 $3277
 $2113
 0
 Family of 3
 $4185
 $4185
 $4185
 $2325
 $2660
 0
 Family of 4
 $5045
 $5045
 $5045
 $4970
 $3206
 0

Alaska Medicaid Application: http://dhss.alaska.gov/dpa/Pages/features/org/application-gen50b.aspx

Arizona

http://www.azahcccs.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 147%
 141%
 133%
 156%
 133%
 133%
 Family of 1
 $1430
 $1371
 $1293
 N/A
 $1293
 $1393
 Family of 2
 $1927
 $1848
 $1,743
 $2045
 $1,743
 $1,743
 Family of 3
 $2424
 $2325
 $2,193
 $2573
 $2,193
 $2,193
 Family of 4
 $2922
 $2802
 $2643
 $3101
 $2,643
 $2,643

Arizona Medicaid Application: https://www.healthearizonaplus.gov/Default/Default.aspx

Arkansas

https://www.medicaid.state.ar.us/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 211%
 211%
 211%
 209%
 133%
 133%
 Family of 1
 $2052
 $2052
 $2052
 N/A
 $1,293
 $1,293
 Family of 2
 $2766
 $2766
 $2766
 $2740
 $1,743
 $1,743
 Family of 3
 $3480
 $3480
 $3480
 $3447
 $2,193
 $2,193
 Family of 4
 $4194
 $4194
 $4194
 $4154
 $2,643
 $2,643

Arkansas Medicaid Application: https://www.medicaid.state.ar.us/ProviderEnrollment/StartAnApplication.aspx

California

http://www.medicaid.gov/medicaid-chip-program-information/by-state/california.html

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 261%
 261%
 261%
 208%
 133%
 133%
 Family of 1
 $2538
 $2538
 $2538
 N/A
 $1,293
 $1,293
 Family of 2
 $3421
 $3421
 $3421
 $2727
 $1,743
 $1,743
 Family of 3
 $4304
 $4304
 $4304
 $3430
 $2,193
 $2,193
 Family of 4
 $5187
 $5187
 $5187
 $4134
 $2,643
 $2,643

California Medicaid Application: http://www.coveredca.com/apply/

Colorado

https://www.colorado.gov/pacific/hcpf/colorado-medicaid

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 142%
 142%
 142%
 195%
 133%
 133%
 Family of 1
 $1381
 $1381
 $1381
 N/A
 $1,293
 $1,293
 Family of 2
 $1861
 $1861
 $1861
 $2556
 $1,743
 $1,743
 Family of 3
 $2342
 $2342
 $2342
 $3216
 $2,193
 $2,193
 Family of 4
 $2822
 $2822
 $2822
 $3876
 $2,643
 $2,643

Colorado Medicaid Application: https://www.colorado.gov/hcpf/how-to-apply

Connecticut

http://www.huskyhealth.com/hh/site/default.asp

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 196%
 196%
 196%
 258%
 196%
 133%
 Family of 1
 $1906
 $1906
 $1906
 N/A
 $1906
 $1,293
 Family of 2
 $2569
 $2569
 $2569
 $3382
 $2569
 $1,743
 Family of 3
 $3232
 $3232
 $3232
 $4255
 $3232
 $2,193
 Family of 4
 $3896
 $3896
 $3896
 $5128
 $3896
 $2,643

Connecticut Medicaid Application: http://www.ct.gov/dss/cwp/view.asp?a=2345&q=490624

Delaware

http://dhss.delaware.gov/dhss/dmma/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 212%
 142%
 133%
 212%
 133%
 133%
 Family of 1
 $2062
 $1381
 $1,293
 N/A
 $1,293
 $1,293
 Family of 2
 $2779
 $1861
 $1,743
 $2779
 $1,743
 $1,743
 Family of 3
 $3496
 $2342
 $2,193
 $3496
 $2,193
 $2,193
 Family of 4
 $4214
 $2822
 $2,643
 $4214
 $2,643
 $2,643

Delaware Medicaid Application: https://assist.dhss.delaware.gov/

District of Columbia

http://dhcf.dc.gov/service/medicaid

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 319%
 319%
 319%
 319%
 216%
 210%
 Family of 1
 $3102
 $3102
 $3102
 N/A
 $2101
 $2042
 Family of 2
 $4182
 $4182
 $4182
 $4182
 $2831
 $2753
 Family of 3
 $5261
 $5261
 $5261
 $5261
 $3562
 $3463
 Family of 4
 $6340
 $6340
 $6340
 $6340
 $4293
 $4174

District of Columbia Medicaid Application: http://dhcf.dc.gov/service/medicaid

Florida

http://www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash/medicaid

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 206%
 140%
 133%
 191%
 30%
 0
 Family of 1
 $2003
 $1362
 $1,293
 N/A
 $292
 0
 Family of 2
 $2700
 $1835
 $1,743
 $2504
 $393
 0
 Family of 3
 $3397
 $2309
 $2,193
 $3150
 $495
 0
 Family of 4
 $4094
 $2783
 $2,643
 $3796
 $596
 0

Florida Medicaid Application: https://dcf-access.dcf.state.fl.us/access/scrflstartappl.do

Georgia

https://dch.georgia.gov/medicaid

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 205%
 149%
 133%
 220%
 35%
 0
 Family of 1
 $1994
 $1449
 $1,293
 N/A
 $340
 0
 Family of 2
 $2687
 $1953
 $1,743
 $2884
 $459
 0
 Family of 3
 $3381
 $2457
 $2,193
 $3628
 $577
 0
 Family of 4
 $4074
 $2961
 $2,643
 $4373
 $696
 0

Georgia Medicaid Application: https://compass.ga.gov/selfservice/

Hawaii

http://mybenefits.hawaii.gov/medicaid-faqs/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 308%
 308%
 308%
 191%
 133%
 133%
 Family of 1
 $3444
 $3444
 $3444
 N/A
 $1,293
 $1,293
 Family of 2
 $4643
 $4643
 $4643
 $2879
 $1,743
 $1,743
 Family of 3
 $5842
 $5842
 $5842
 $3623
 $2,193
 $2,193
 Family of 4
 $7040
 $7040
 $7040
 $4366
 $2,643
 $2,643

Hawaii Medicaid Application: http://mybenefits.hawaii.gov/

Idaho

http://healthandwelfare.idaho.gov/Default.aspx?TabId=123

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 142%
 142%
 133%
 133%
 24%
 *
 Family of 1
 $1381
 $1381
 $1,293
 N/A
 $233
 *
 Family of 2
 $1861
 $1861
 $1,743
 $1,743
 $315
 *
 Family of 3
 $2342
 $2342
 $2,193
 $2,193
 $396
 *
 Family of 4
 $2822
 $2822
 $2,643
 $2,643
 $477
 *

*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: http://healthandwelfare.idaho.gov/FoodCashAssistance/ApplyforAssistance

Illinois

http://www.hfs.illinois.gov/medical/apply.html

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 142%
 142%
 142%
 208%
 133%
 133%
 Family of 1
 $1381
 $1381
 $1381
 N/A
 $1,293
 $1,293
 Family of 2
 $1861
 $1861
 $1861
 $2727
 $1,743
 $1,743
 Family of 3
 $2342
 $2342
 $2342
 $3430
 $2,193
 $2,193
 Family of 4
 $2822
 $2822
 $2822
 $4134
 $2,643
 $2,643

Illinois Medicaid Application: https://abe.illinois.gov/abe/access/

Indiana

http://www.indianamedicaid.com/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 208%
 158%
 158%
 208%
 20%
 *
 Family of 1
 $2023
 $1537
 $1537
 N/A
 $195
 *
 Family of 2
 $2727
 $2071
 $2071
 $2727
 $262
 *
 Family of 3
 $3430
 $2606
 $2606
 $3430
 $330
 *
 Family of 4
 $4134
 $3140
 $3140
 $4134
 $398
 *

*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: http://member.indianamedicaid.com/apply-for-medicaid.aspx

Iowa

http://dhs.iowa.gov/ime/about

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 375%
 167%
 167%
 375%
 133%
 133%
 Family of 1
 $3647
 $1624
 $1624
 N/A
 $1,293
 $1,293
 Family of 2
 $4916
 $2189
 $2189
 $4916
 $1,743
 $1,743
 Family of 3
 $6184
 $2754
 $2754
 46184
 $2,193
 $2,193
 Family of 4
 $7453
 $3319
 $3319
 $7453
 $2,643
 $2,643

Iowa Medicaid Application: http://dhs.iowa.gov/how-to-apply

Kansas

https://www.kmap-state-ks.us/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 166%
 149%
 133%
 166%
 33%
 0
 Family of 1
 $1614
 $1449
 $1,293
 N/A
 $321
 0
 Family of 2
 $2176
 $1953
 $1,743
 $2176
 $433
 0
 Family of 3
 $2738
 $2457
 $2,193
 $2738
 $544
 0
 Family of 4
 $3299
 $2961
 $2,643
 $3299
 $656
 0

Kansas Medicaid Application: http://www.kancare.ks.gov/consumers/apply-for-kancare

Kentucky

http://chfs.ky.gov/dms/eligibility.htm

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 195%
 159%
 159%
 195%
 133%
 133%
 Family of 1
 $1896
 $1546
 $1546
 N/A
 $1,293
 $1,293
 Family of 2
 $2556
 $2084
 $2084
 $2556
 $1,743
 $1,743
 Family of 3
 $43216
 $2622
 $2622
 $3216
 $2,193
 $2,193
 Family of 4
 $3876
 $3160
 $3160
 $3876
 $2,643
 $2,643

Kentucky Medicaid Application: http://chfs.ky.gov/dms/where.htm

Louisiana

http://www.dhh.state.la.us/index.cfm/subhome/1

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 212%
 212%
 212%
 133%
 19%
 *
 Family of 1
 $2062
 $2062
 $2062
 N/A
 $185
 *
 Family of 2
 $2779
 $2779
 $2779
 $1743
 $249
 *
 Family of 3
 $3496
 $3496
 $3496
 $2193
 $313
 *
 Family of 4
 $4214
 $4214
 $4214
 $2643
 $378
 *

*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: http://www.dhh.state.la.us/index.cfm/page/237

Maine

http://www.maine.gov/dhhs/mainecare.shtml

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 191%
 157%
 157%
 209%
 100%
 **
 Family of 1
 $1857
 $1527
 $1527
 N/A
 $973
 **
 Family of 2
 $2504
 $2058
 $2058
 $2740
 $1311
 **
 Family of 3
 $3150
 $2589
 $2589
 $3447
 $1649
 **
 Family of 4
 $3796
 $3120
 $3120
 $4154
 $1988
 **

**The state covers some 19 and 20-year-olds

Maine Medicaid Application: http://www.maine.gov/dhhs/oms/member/#new_mbr

Maryland

https://mmcp.dhmh.maryland.gov/Pages/home.aspx

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 317%
 317%
 317%
 259%
 133%
 133%
 Family of 1
 $3083
 $3083
 $3083
 N/A
 $1,293
 $1,293
 Family of 2
 $4155
 $4155
 $4155
 $3395
 $1,743
 $1,743
 Family of 3
 $5228
 $5228
 $5228
 $4271
 $2,193
 $2,193
 Family of 4
 $6300
 $6300
 $6300
 $5148
 $2,643
 $2,643

Maryland Medicaid Application: https://www.marylandhealthconnection.gov/

Massachusetts

http://www.mass.gov/eohhs/gov/departments/masshealth/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 200%
 150%
 150%
 200%
 133%
 133%
 Family of 1
 $1945
 $1459
 $1459
 N/A
 $1293
 $1,293
 Family of 2
 $2622
 $1966
 $1966
 $2622
 $1743
 $1,743
 Family of 3
 $3298
 $2474
 $2474
 $3298
 $2,193
 $2,193
 Family of 4
 $3975
 $2981
 $2981
 $3975
 $2,643
 $2,643

Massachusetts Medicaid Application

Michigan

http://www.michigan.gov/mdhhs/0,5885,7-339-71547_4860---,00.html

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 195%
 160%
 160%
 195%
 133%
 133%
 Family of 1
 $1896
 $1556
 $1556
 N/A
 $1,293
 $1,293
 Family of 2
 $2556
 $2097
 $2097
 $2556
 $1,743
 $1,743
 Family of 3
 $3216
 $2639
 $2639
 $3216
 $2,193
 $2,193
 Family of 4
 $3876
 $3180
 $3180
 $3876
 $2,643
 $2,643

Michigan Medicaid Application: http://www.michigan.gov/mdhhs/0,5885,7-339-71551_7338---,00.html

Minnesota

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_006254

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 283%
 275%
 275%
 278%
 200%
 200$
 Family of 1
 $2752
 $2674
 $2674
 N/A
 $1945
 $1945
 Family of 2
 $3710
 $3605
 $3605
 $3644
 $2622
 $2622
 Family of 3
 $4667
 $4535
 $4535
 $4585
 $3298
 $3298
 Family of 4
 $5625
 $5466
 $5466
 $5525
 $3975
 $3975

Minnesota Medicaid Application: http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_006294

Mississippi

https://www.medicaid.ms.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 194%
 143%
 133%
 194%
 22%
 0
 Family of 1
 $1887
 $1391
 $1,293
 N/A
 $214
 0
 Family of 2
 $2543
 $1874
 $1,743
 $2543
 $288
 0
 Family of 3
 $3199
 $2358
 $2,193
 $3199
 $363
 0
 Family of 4
 $3856
 $2842
 $2,643
 $3856
 $437
 0

Mississippi Medicaid Application: https://www.medicaid.ms.gov/medicaid-coverage/how-to-apply/

Missouri

http://dss.mo.gov/fsd/msmed.htm

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 196%
 150%
 150%
 196%
 18%
 *
 Family of 1
 $1906
 $1459
 $1459
 N/A
 $175
 *
 Family of 2
 $2569
 $1966
 $1966
 $2569
 $236
 *
 Family of 3
 $3232
 $2474
 $2474
 $3232
 $297
 *
 Family of 4
 $3896
 $2981
 $2981
 $3896
 $358
 *

*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: http://www.dss.mo.gov/mhk/accept.htm

Montana

http://dphhs.mt.gov/MontanaHealthcarePrograms/Welcome/MemberServices

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 143%
 143%
 143%
 157%
 47%
 *
 Family of 1
 $1391
 $1391
 $1391
 N/A
 $457
 *
 Family of 2
 $1874
 $1874
 $1874
 $2058
 $616
 *
 Family of 3
 $2358
 $2358
 $2358
 $2589
 $775
 *
 Family of 4
 $2842
 $2842
 $2842
 $3120
 $934
 *

*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: https://apply.mt.gov/

Nebraska

http://dhhs.ne.gov/medicaid/Pages/med_medindex.aspx

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 213%
 213%
 213%
 194%
 57%
 0%
 Family of 1
 $2071
 $2071
 $2071
 N/A
 $554
 0
 Family of 2
 $2792
 $2792
 $2792
 $2543
 $747
 0
 Family of 3
 $3513
 $3513
 $3513
 $3199
 $940
 0
 Family of 4
 $4233
 $4233
 $4233
 $3856
 $1133
 0

Nebraska Medicaid Application: http://dhhs.ne.gov/Children_Family_Services/AccessNebraska/Pages/accessnebraska_index.aspx

Nevada

https://dwss.nv.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 160%
 160%
 133%
 160%
 133%
 133%
 Family of 1
 $1556
 $1556
 $1293
 N/A
 $1,293
 $1,293
 Family of 2
 $2097
 $2097
 $1743
 $2097
 $1,743
 $1,743
 Family of 3
 $2639
 $2639
 $2193
 $2698
 $2,193
 $2,193
 Family of 4
 $3180
 $3180
 $2643
 $3180
 $2,643
 $2,643

Nevada Medicaid Application: http://www.benefitsapplication.com/apply/NV/Medicaid

New Hampshire

http://www.dhhs.nh.gov/ombp/medicaid/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 318%
 318%
 318%
 196%
 133%
 133%
 Family of 1
 $3093
 $3093
 $3093
 N/A
 $1,293
 $1,293
 Family of 2
 $4168
 $4168
 $4168
 $2569
 $1,743
 $1,743
 Family of 3
 $5244
 $5244
 $5244
 $3232
 $2,193
 $2,193
 Family of 4
 $6320
 $6320
 $6320
 $3896
 $2,643
 $2,643

New Hampshire Medicaid Application: http://www.dhhs.nh.gov/dfa/apply.htm

New Jersey

http://www.nj.gov/humanservices/dmahs/clients/medicaid/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 



 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 194%
 142%
 142%
 194%
 133%
 133%
 Family of 1
 $1887
 $1381
 $1381
 N/A
 $1,293
 $1,293
 Family of 2
 $2543
 $1861
 $1861
 $2543
 $1,743
 $1,743
 Family of 3
 $3199
 $2342
 $2342
 $3199
 $2,193
 $2,193
 Family of 4
 $3856
 $2822
 $2822
 $3856
 $2,643
 $2,643

 New Jersey Medicaid Application: http://www.njhelps.org/

New Mexico

https://nmmedicaid.acs-inc.com/static/index.htm

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 300%
 300%
 240%
 250%
 133%
 133%
 Family of 1
 $2918
 $2918
 $2334
 N/A
 $1,293
 $1,293
 Family of 2
 $933
 $3933
 $3146
 $3277
 $1,743
 $1,743
 Family of 3
 $4948
 $4948
 $3958
 $4123
 $2,193
 $2,193
 Family of 4
 $5963
 $5963
 $4770
 $4969
 $2,643
 $2,643

New Mexico Medicaid Application: https://www.yes.state.nm.us/yesnm/home/index

New York

https://www.health.ny.gov/health_care/medicaid/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 218%
 149%
 149%
 218%
 133%
 133%
 Family of 1
 $2120
 $1449
 $1449
 N/A
 $1,293
 $1,293
 Family of 2
 $2858
 $1953
 $1953
 $2858
 $1,743
 $1,743
 Family of 3
 $3595
 $2457
 $2457
 $3595
 $2,193
 $2,193
 Family of 4
 $4333
 $2961
 $2961
 $4333
 $2,643
 $2,643

New York Medicaid Application: http://www.healthbenefitexchange.ny.gov/

North Carolina

http://www2.ncdhhs.gov/dma/medicaid/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 210%
 210%
 133%
 196%
 45%
 0
 Family of 1
 $2042
 $2042
 $1,293
 N/A
 $438
 0
 Family of 2
 $2753
 $2753
 $1,743
 $2569
 $590
 0
 Family of 3
 $3463
 $3463
 $2,193
 $3232
 $742
 0
 Family of 4
 $4174
 $4174
 $2,643
 $3896
 $894
 0

North Carolina Medicaid Application: http://www2.ncdhhs.gov/dma/medicaid/apply.htm

North Dakota

http://www.nd.gov/dhs/services/medicalserv/medicaid/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 147%
 147%
 133%
 147%
 133%
 133%
 Family of 1
 $1430
 $1430
 $1293
 N/A
 $1,293
 $1,293
 Family of 2
 $1927
 $1927
 $1743
 $1927
 $1,743
 $1,743
 Family of 3
 $2424
 $2424
 $2193
 $2424
 $2,193
 $2,193
 Family of 4
 $2922
 $2922
 $2643
 $2922
 $2,643
 $2,643

North Dakota Medicaid Application: https://www.nd.gov/dhs/services/medicalserv/medicaid/apply.html

Ohio

http://medicaid.ohio.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 206%
 206%
 206%
 200%
 133%
 133%
 Family of 1
 $2003
 $2003
 $2003
 N/A
 $1,293
 $1,293
 Family of 2
 $2700
 $2700
 $2700
 $2622
 $1,743
 $1,743
 Family of 3
 $3397
 $3397
 $3397
 $3298
 $2,193
 $2,193
 Family of 4
 $4094
 $4094
 $4094
 $3975
 $2,643
 $2,643

Ohio Medicaid Application: http://medicaid.ohio.gov/FOROHIOANS/GetCoverage/HowtoApplyforMedicaid.aspx

Oklahoma

OKDHS Health Services

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 205%
 205%
 205%
 133%
 42%
 *
 Family of 1
 $1994
 $1994
 $1994
 N/A
 $408
 *
 Family of 2
 $2687
 $2687
 $2687
 $1743
 $551
 *
 Family of 3
 $3381
 $3381
 $3381
 $2193
 $693
 *
 Family of 4
 $4074
 $4074
 $4074
 $2643
 $835
 *

*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

http://www.oregon.gov/oha/healthplan/pages/stateplan.aspx

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 185%
 133%
 133%
 185%
 133%
 133%
 Family of 1
 $1799
 $1,293
 $1,293
 N/A
 $1,293
 $1,293
 Family of 2
 $2425
 $1,743
 $1,743
 $2425
 $1,743
 $1,743
 Family of 3
 $3051
 $2,193
 $2,193
 $3051
 $2,193
 $2,193
 Family of 4
 $3677
 $2,643
 $2,643
 $3677
 $2,643
 $2,643

Oregon Medicaid Application: http://www.oregonhealthcare.gov/apply-for-medicaid-now.html

Pennsylvania

http://www.dhs.state.pa.us/foradults/healthcaremedicalassistance/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 215%
 157%
 133%
 215%
 33%
 0
 Family of 1
 $2091
 $1527
 $1,293
 N/A
 $321
 0
 Family of 2
 $2818
 $2058
 $1,743
 $2818
 $433
 0
 Family of 3
 $3546
 $2589
 $2,193
 $3546
 $544
 0
 Family of 4
 $4273
 $3120
 $2,643
 $4273
 $656
 0

Pennsylvania Medicaid Application: http://www.dhs.state.pa.us/applyforbenefits/

Rhode Island

https://healthyrhode.ri.gov/HIXWebI3/DisplayRIServices

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 261%
 261%
 261%
 190%
 133%
 133%
 Family of 1
 $2538
 $2538
 $2538
 N/A
 $1,293
 $1,293
 Family of 2
 $3421
 $3421
 $3421
 $2491
 $1,743
 $1,743
 Family of 3
 $4304
 $4304
 $4304
 $3133
 $2,193
 $2,193
 Family of 4
 $5187
 $5187
 $5187
 $3776
 $2,643
 $2,643

Rhode Island Medicaid Application: http://www.dhs.ri.gov/applynow/index.php

South Carolina

https://www.scdhhs.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 208%
 208%
 208%
 194%
 62%
 0
 Family of 1
 $2023
 $2023
 $2023
 N/A
 $603
 0
 Family of 2
 $2727
 $2727
 $2727
 $2543
 $813
 0
 Family of 3
 $3430
 $3430
 $3430
 $3199
 $1022
 0
 Family of 4
 $4134
 $4134
 $4134
 $3856
 $1232
 0

South Carolina Medicaid Application: https://www.scdhhs.gov/how-to-apply

South Dakota

http://dss.sd.gov/medicaid/generalinfo/verifyeligibility/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 182%
 182%
 182%
 133%
 58%
 0
 Family of 1
 $1770
 $1770
 $1770
 N/A
 $564
 0
 Family of 2
 $2386
 $2386
 $2386
 $1743
 $760
 0
 Family of 3
 $3001
 $3001
 $3001
 $2193
 $957
 0
 Family of 4
 $3617
 $3617
 $3617
 $2643
 $1153
 0

South Dakota Medicaid Application: https://apps.sd.gov/ss36snap/web/Portal/Default.aspx

Tennessee

https://www.tn.gov/tenncare/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 195%
 142%
 133%
 195%
 105%
 0
 Family of 1
 $1896
 $1381
 $1,293
 N/A
 $1021
 0
 Family of 2
 $2556
 $1861
 $1,743
 $2556
 $1376
 0
 Family of 3
 $3216
 $2342
 $2,193
 $3216
 $1732
 0
 Family of 4
 $3876
 $2822
 $2,643
 $3876
 $2087
 0

Tennessee Medicaid Application: https://www.tn.gov/tenncare/topic/how-to-apply

Texas

https://hhs.texas.gov/services/health/medicaid-chip

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 198%
 144%
 133%
 198%
 15%
 0
 Family of 1
 $1926
 $1400
 $1,293
 N/A
 $146
 0
 Family of 2
 $2595
 $1888
 $1,743
 $2595
 $197
 0
 Family of 3
 $3265
 $2375
 $2,193
 $3265
 $247
 0
 Family of 4
 $3935
 $2862
 $2,643
 $3935
 $298
 0

Texas Medicaid Application: https://www.yourtexasbenefits.com/ssp/SSPHome/ssphome.jsp

Utah

https://medicaid.utah.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 139%
 139%
 133%
 139%
 51%
 *
 Family of 1
 $1352
 $1352
 $1,293
 N/A
 $496
 *
 Family of 2
 $1822
 $1822
 $1,743
 $1822
 $669
 *
 Family of 3
 $2292
 $2292
 $2,193
 $2292
 $841
 *
 Family of 4
 $2763
 $2763
 $2,643
 $2763
 $1014
 *

*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: https://medicaid.utah.gov/apply-medicaid

Vermont

https://www.vtmedicaid.com/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 312%
 312%
 312%
 208%
 133%
 133%
 Family of 1
 $3034
 $3034
 $3034
 N/A
 $1,293
 $1,293
 Family of 2
 $4090
 $4090
 $4090
 $2727
 $1,743
 $1,743
 Family of 3
 $5145
 $5145
 $5145
 $3430
 $2,193
 $2,193
 Family of 4
 $6201
 $6201
 $6201
 $4134
 $2,643
 $2,643

Vermont Medicaid Application: http://info.healthconnect.vermont.gov/Medicaid

Virginia

http://www.dmas.virginia.gov/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 143%
 143%
 143%
 143%
 49%
 0
 Family of 1
 $1391
 $1391
 $1391
 N/A
 $496
 0
 Family of 2
 $1874
 $1874
 $1874
 $1874
 $642
 0
 Family of 3
 $2358
 $2358
 $2358
 $2358
 $808
 0
 Family of 4
 $2842
 $2842
 $2842
 $2842
 $974
 0

Virginia Medicaid Application: https://www.dss.virginia.gov/benefit/medical_assistance/forms.cgi

Washington

https://www.dshs.wa.gov/altsa/home-and-community-services/medicaid

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 210%
 210%
 210%
 193%
 133%
 133%
 Family of 1
 $2042
 $2042
 $2042
 N/A
 $1,293
 $1,293
 Family of 2
 $2753
 $2753
 $2753
 $2530
 $1,743
 $1,743
 Family of 3
 $3463
 $3463
 $3463
 $3183
 $2,193
 $2,193
 Family of 4
 $4174
 $4174
 $4174
 $3836
 $2,643
 $2,643

Washington Medicaid Application: https://www.dshs.wa.gov/esa/community-services-offices/how-apply-services

West Virginia

http://www.dhhr.wv.gov/bms/Pages/default.aspx

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 158%
 141%
 133%
 158%
 133%
 133%
 Family of 1
 $1537
 $1371
 $1293
 N/A
 $1,293
 $1,293
 Family of 2
 $2071
 $1848
 $1743
 $2071
 $1,743
 $1,743
 Family of 3
 $2606
 $2325
 $2193
 $2606
 $2,193
 $2,193
 Family of 4
 $3140
 $2802
 $2643
 $3140
 $2,643
 $2,643

West Virginia Medicaid Application: https://www.wvinroads.org/selfservice/

Wisconsin

https://www.dhs.wisconsin.gov/forwardhealth/index.htm

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 301%
 186%
 151%
 301%
 95%
 95%
 Family of 1
 $2927
 $1809
 $1468
 N/A
 $924
 $924
 Family of 2
 $3946
 $2438
 $1979
 $3946
 $1245
 $1245
 Family of 3
 $4964
 $3067
 $2490
 $4964
 $1567
 $1567
 Family of 4
 $5982
 $3697
 $3001
 $5982
 $1888
 $1888

Wisconsin Medicaid Application: https://www.dhs.wisconsin.gov/medicaid/applications.htm

Wyoming

https://wyequalitycare.acs-inc.com/

 

 Medicaid
Age 0-1
 Medicaid
Age 1-5
 Medicaid
Age 6-18
 Pregnant
Women
 Parents
 Other
Adults
 MAGI
 154%
 154%
 133%
 154%
 56%
 0
 Family of 1
 $1498
 $1498
 $1,293
 N/A
 $545
 0
 Family of 2
 $2019
 $2019
 $1,743
 $2019
 $734
 0
 Family of 3
 $2540
 $2540
 $2,193
 $2540
 $924
 0
 Family of 4
 $3061
 $3061
 $2,643
 $3061
 $1113
 0

Wyoming Medicaid Application: https://health.wyo.gov/healthcarefin/apply/