Home › Insurance › Medicaid income limits by state
Direct answer: 40 states and D.C. have expanded Medicaid, so adults 19 to 64 can qualify on income alone up to 138% of the poverty level: $22,024.80 a year for one person in 2026. Ten states haven't: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.
By the numbers: Medicaid.gov June 2026 enrollment data: 41 jurisdictions (40 states + D.C.) expanded Medicaid; 10 did not. Adult group limit 133% of FPL (138% with the 5% disregard) except D.C. (210%). Source: Medicaid.gov / CMS
“If your household income is below 133% of the federal poverty level (FPL), you qualify. (Because of the way this is calculated, it turns out to be 138% of the federal poverty level.)” — HealthCare.gov
Updated 2026-10-18
Ten, per Medicaid.gov's June 2026 enrollment data: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming. Wisconsin covers adults up to about 100% of the poverty level through a waiver, and Georgia Pathways covers adults up to 100% who meet an 80-hour monthly activity rule.
In the 40 expansion states and D.C., adults 19-64 qualify up to 138% of the federal poverty level (133% plus a 5% disregard): $22,024.80 a year for one person, $29,863.20 for two, $37,701.60 for three and $45,540 for four (2026 guidelines, 48 states + D.C.). D.C. goes to 215%. Limits for children and pregnancy are higher in every state.
No. Tennessee is one of 10 states that hasn't expanded. TennCare covers parents and caretaker relatives up to 84% of the poverty level (a dollar standard CMS converted), pregnant women to 195% and children to 250% through CHIP, per Medicaid.gov's table; adults without dependent children generally don't qualify on income alone.
Texas hasn't expanded Medicaid. Medicaid.gov's table lists 12% of the poverty level for parents and caretakers (a dollar standard), 198% for pregnancy and up to 201% for children through CHIP. Adults without children generally can't qualify on income alone.
Yes, for many expansion adults. Beginning Jan. 1, 2027, or earlier if a state chooses, adults 19-64 in the expansion group must show 80 hours a month of work, school, community service or a work program, or earn at least $580 a month (2026), unless exempt, such as parents of a child 13 or under, pregnant people or the medically frail (CMS).
Both describe the same line. The law sets 133%, and Medicaid's income rules subtract a 5% of poverty disregard, so in practice adults qualify up to 138% (HealthCare.gov).
Medicaid / CHIP income limits by state (Medicaid.gov table) and expansion status (Medicaid.gov June 2026 data); checked Oct. 18, 2026.
As of Oct. 18, 2026 · Medicaid.gov + CMS · 50 states + DC
40 states and D.C. have expanded Medicaid: adults 19-64 qualify on income alone up to 138% of the poverty level ($22,024.80 a year, $1,835.40 a month for one person in 2026). Ten haven't: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming. There, adults without children usually can't get Medicaid on income alone.
The math:
Sources: Income check · By state · Work rules 2027 · Sources
A best fit for the situation described, not financial advice or a buy/sell recommendation. Partner links never change a pick.
Pick your state and who you are, then enter household size and income before taxes.
Percent of the federal poverty level, from Medicaid.gov's eligibility table (state decisions as of Dec. 1, 2023, the latest CMS has posted; checked Oct. 18, 2026). Expansion status from Medicaid.gov's June 2026 enrollment data (updated Sept. 25, 2026). States add a 5% disregard, so 133% works out to 138%. ($) = the state sets dollar amounts that CMS converted to a percent. Dollar column: 2026 HHS guideline for 1 person (Alaska and Hawaii higher).
| State | Expanded Medicaid? | Adults, no kids | 1 adult, 2026 | Parents / caretakers | Pregnant | Children 6-18 (highest) |
|---|---|---|---|---|---|---|
| Alabama | No | Not expanded | No income-only limit | 13% | 141% | 312% (CHIP) |
| Alaska | Yes | 133% | $27,531/yr $2,294/mo | 130% ($) | 200% | 203% |
| Arizona | Yes | 133% | $22,025/yr $1,835/mo | 106% | 156% | 200% (CHIP) |
| Arkansas | Yes | 133% | $22,025/yr $1,835/mo | 13% ($) | 209% | 211% (CHIP) |
| California | Yes | 133% | $22,025/yr $1,835/mo | 109% | 208% | 261% |
| Colorado | Yes | 133% | $22,025/yr $1,835/mo | 68% | 260% | 260% (CHIP) |
| Connecticut | Yes | 133% | $22,025/yr $1,835/mo | 155% | 258% | 318% (CHIP) |
| Delaware | Yes | 133% | $22,025/yr $1,835/mo | 87% | 212% | 212% (CHIP) |
| District of Columbia | Yes | 210% | $34,314/yr $2,860/mo | 216% | 319% | 319% |
| Florida | No | Not expanded | No income-only limit | 24% ($) | 191% | 210% (CHIP) |
| Georgia | No | Not expanded; Georgia Pathways to 100% with 80 hrs/month | No income-only limit | 28% ($) | 220% | 247% (CHIP) |
| Hawaii | Yes | 133% | $25,337/yr $2,111/mo | 105% | 191% | 308% |
| Idaho | Yes | 133% | $22,025/yr $1,835/mo | 19% ($) | 133% | 185% (CHIP) |
| Illinois | Yes | 133% | $22,025/yr $1,835/mo | 133% | 208% | 313% |
| Indiana | Yes | 133% | $22,025/yr $1,835/mo | 15% ($) | 208% | 250% (CHIP) |
| Iowa | Yes | 133% | $22,025/yr $1,835/mo | 44% ($) | 375% | 302% (CHIP) |
| Kansas | No | Not expanded | No income-only limit | 33% | 166% | 250% (CHIP) |
| Kentucky | Yes | 133% | $22,025/yr $1,835/mo | 19% ($) | 213% | 213% |
| Louisiana | Yes | 133% | $22,025/yr $1,835/mo | 19% | 133% | 250% (CHIP) |
| Maine | Yes | 133% | $22,025/yr $1,835/mo | 100% | 209% | 300% |
| Maryland | Yes | 133% | $22,025/yr $1,835/mo | 123% | 259% | 317% |
| Massachusetts | Yes | 133% | $22,025/yr $1,835/mo | 133% | 200% | 300% (CHIP) |
| Michigan | Yes | 133% | $22,025/yr $1,835/mo | 54% | 195% | 212% |
| Minnesota | Yes | 133% Medicaid + Basic Health Program to 200% | $22,025/yr $1,835/mo | 133% | 278% | 275% |
| Mississippi | No | Not expanded | No income-only limit | 19% ($) | 194% | 209% (CHIP) |
| Missouri | Yes | 133% | $22,025/yr $1,835/mo | 15% ($) | 300% | 300% (CHIP) |
| Montana | Yes | 133% | $22,025/yr $1,835/mo | 24% | 157% | 261% (CHIP) |
| Nebraska | Yes | 133% | $22,025/yr $1,835/mo | 58% | 194% | 213% |
| Nevada | Yes | 133% | $22,025/yr $1,835/mo | 26% ($) | 160% | 200% (CHIP) |
| New Hampshire | Yes | 133% | $22,025/yr $1,835/mo | 55% ($) | 196% | 318% |
| New Jersey | Yes | 133% | $22,025/yr $1,835/mo | 26% ($) | 200% | 350% (CHIP) |
| New Mexico | Yes | 133% | $22,025/yr $1,835/mo | 37% ($) | 250% | 240% |
| New York | Yes | 133% Medicaid + Basic Health Program to 200% | $22,025/yr $1,835/mo | 133% | 218% | 400% (CHIP) |
| North Carolina | Yes | 133% | $22,025/yr $1,835/mo | 36% ($) | 196% | 211% |
| North Dakota | Yes | 133% | $22,025/yr $1,835/mo | 43% ($) | 170% | 170% |
| Ohio | Yes | 133% | $22,025/yr $1,835/mo | 90% | 200% | 206% |
| Oklahoma | Yes | 133% | $22,025/yr $1,835/mo | 33% ($) | 205% | 205% |
| Oregon | Yes | 133% | $22,025/yr $1,835/mo | 33% ($) | 185% | 300% (CHIP) |
| Pennsylvania | Yes | 133% | $22,025/yr $1,835/mo | 33% | 215% | 314% (CHIP) |
| Rhode Island | Yes | 133% | $22,025/yr $1,835/mo | 116% | 253% | 261% |
| South Carolina | No | Not expanded | No income-only limit | 62% | 194% | 208% |
| South Dakota | Yes | 133% | $22,025/yr $1,835/mo | 46% ($) | 133% | 204% (CHIP) |
| Tennessee | No | Not expanded | No income-only limit | 84% ($) | 195% | 250% (CHIP) |
| Texas | No | Not expanded | No income-only limit | 12% ($) | 198% | 201% (CHIP) |
| Utah | Yes | 133% | $22,025/yr $1,835/mo | 36% ($) | 139% | 200% (CHIP) |
| Vermont | Yes | 133% | $22,025/yr $1,835/mo | 43% ($) | 208% | 312% |
| Virginia | Yes | 133% | $22,025/yr $1,835/mo | 49% ($) | 200% | 200% (CHIP) |
| Washington | Yes | 133% | $22,025/yr $1,835/mo | 33% ($) | 193% | 312% (CHIP) |
| West Virginia | Yes | 133% | $22,025/yr $1,835/mo | 16% ($) | 300% | 300% (CHIP) |
| Wisconsin | No | Not expanded; adults to 95% (+5%) through BadgerCare (waiver) | No income-only limit | 95% | 301% | 301% (CHIP) |
| Wyoming | No | Not expanded | No income-only limit | 45% ($) | 154% | 200% |
Under a 2025 federal law and CMS's June 1, 2026 interim final rule, states must, beginning Jan. 1, 2027 (or earlier if they choose), require "applicable individuals" to show community engagement to enroll or renew: non-pregnant adults 19-64 not on Medicare who are in the Medicaid adult (expansion) group or certain section 1115 demonstrations. Each month you need 80 hours of work, community service, a work program or half-time school (or a mix), or monthly income of at least 80 times the federal minimum wage ($580 a month in 2026). Exempt groups include parents or caretakers of a child 13 or under or of a disabled person, pregnant and postpartum people, medically frail people, veterans with a total disability rating, American Indians and Alaska Natives, and former foster youth. If the state can't verify you, it must give you 30 days to show you meet the rule or are exempt. CMS says 43 states and D.C. cover these adults and must apply the rule; Georgia Pathways already requires 80 hours a month.
How we built this: on Oct. 18, 2026 we saved Medicaid.gov's eligibility-levels table, its June 2026 enrollment data (with each state's expansion flag), CMS's work requirement fact sheet, Georgia Pathways and HealthCare.gov with checksums. Our build checks that all 51 table rows and 31 quoted passages appear word for word, and that the table's 'No' column matches the 10 'Not Expanded' states. The check divides your yearly income (monthly x 12) by the 2026 HHS guideline for your household size and compares it with the table level plus the 5% disregard (Georgia Pathways: 100%, no disregard). It runs in your browser with the same rules as our server-side test.
Facts, not legal advice. The table shows state decisions as of Dec. 1, 2023, the latest CMS has posted; a state may have changed a limit since. Your state agency decides using its own income counting (MAGI), and also checks residency, citizenship or immigration status, age, disability and other rules.
Ten, per Medicaid.gov's June 2026 enrollment data: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming. Wisconsin covers adults up to about 100% of the poverty level through a waiver, and Georgia Pathways covers adults up to 100% who meet an 80-hour monthly activity rule.
In the 40 expansion states and D.C., adults 19-64 qualify up to 138% of the federal poverty level (133% plus a 5% disregard): $22,024.80 a year for one person, $29,863.20 for two, $37,701.60 for three and $45,540 for four (2026 guidelines, 48 states + D.C.). D.C. goes to 215%. Limits for children and pregnancy are higher in every state.
No. Tennessee is one of 10 states that hasn't expanded. TennCare covers parents and caretaker relatives up to 84% of the poverty level (a dollar standard CMS converted), pregnant women to 195% and children to 250% through CHIP, per Medicaid.gov's table; adults without dependent children generally don't qualify on income alone.
Texas hasn't expanded Medicaid. Medicaid.gov's table lists 12% of the poverty level for parents and caretakers (a dollar standard), 198% for pregnancy and up to 201% for children through CHIP. Adults without children generally can't qualify on income alone.
Yes, for many expansion adults. Beginning Jan. 1, 2027, or earlier if a state chooses, adults 19-64 in the expansion group must show 80 hours a month of work, school, community service or a work program, or earn at least $580 a month (2026), unless exempt, such as parents of a child 13 or under, pregnant people or the medically frail (CMS).
Both describe the same line. The law sets 133%, and Medicaid's income rules subtract a 5% of poverty disregard, so in practice adults qualify up to 138% (HealthCare.gov).
Facts, not insurance advice. We don't sell insurance or provide quotes; confirm coverage and requirements with the insurer, an agent or your state insurance department.
Was this calculator helpful?
We save only this page, your answer and the time. Nothing you typed.
We email you when top savings rates or our picks change. Email only. We send one email first so you can confirm; every email has a one-click unsubscribe.
Free tools need no account, SSN, or address. Most calculators run in your browser; a few send the numbers you enter to our server to do the math.