United States Benefit

Medicaid

Medicaid provides free or low-cost health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities.

At a Glance

  • In states that expanded Medicaid, adults under 65 withincome up to 138% FPL qualify.
  • Must be a resident of the state where applying.
  • Must be a U.S. citizen, U.S. national, or qualified immigrant.
  • Cannot be currently incarcerated.
  • + 1 more requirements below

Eligibility Requirements

Income (Adults)

Required

In states that expanded Medicaid, adults under 65 withincome up to 138% FPL qualify.

household_income_fpl ≤ 138 percent

State Residency

Required

Must be a resident of the state where applying.

state_residency exists

Citizenship/Immigration

Required

Must be a U.S. citizen, U.S. national, or qualified immigrant.

citizenship_status in [us_citizen, us_national, qualified_alien]

Not Incarcerated

Required

Cannot be currently incarcerated.

is_incarcerated = false

Eligibility Category

Required

Must fall into an eligible category.

eligibility_category in [low_income_adult, pregnant, child_under_19, parent_caretaker, elderly_65_plus, disabled, blind]

Exempt if any:

  • OR age < 19
  • OR is_pregnant = true
  • OR age ≥ 65
  • OR has_disability = true
  • OR age between

Ruleset effective: 2024-01-01

Quick Info

Agency
CMS
Category
Healthcare
Last Verified
2026-01-13

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Official Sources

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