2026 Federal Medicaid Income Limits
These are the federal baseline income limits. Most states use these thresholds exactly, though some are more generous — especially for children and pregnant women.
| Eligibility category | Income limit | Monthly limit — 1 person | Monthly limit — family of 4 | States covered |
|---|---|---|---|---|
| Adults (expansion states) | 138% FPL | $1,835/mo | $3,795/mo | 41 states + DC |
| Adults (non-expansion) | Varies (very low) | — | — | 10 states |
| Pregnant women | 138–215% FPL | $1,835–$2,860/mo | $3,795–$5,913/mo | All 50 states |
| Children under 6 | 133–317% FPL | $1,769+/mo | $3,658+/mo | All 50 states |
| Children 6–18 | 100–317% FPL | $1,330+/mo | $2,750+/mo | All 50 states |
| CHIP (children) | 200–317% FPL | $2,660+/mo | $5,500+/mo | All 50 states |
| Parents & caretakers | 10–138% FPL | Varies widely | Varies widely | All 50 states |
| SSI recipients | Automatic | — | — | Most states |
Medicaid Income Limits by State 2026
Income limits shown as % of Federal Poverty Level. Click your state name for the full eligibility guide.
| State | Adults | Pregnant | Children | CHIP | Parents | Expanded? |
|---|---|---|---|---|---|---|
| Alabama | Not expanded | 146% | 146% | 317% | 13% | No |
| Alaska | 138% | 225% | 203% | 203% | 133% | Yes |
| Arizona | 138% | 156% | 141% | 225% | 106% | Yes |
| Arkansas | 138% | 214% | 142% | 211% | 138% | Yes |
| California | 138% | 213% | 266% | 266% | 138% | Yes |
| Colorado | 138% | 195% | 142% | 265% | 68% | Yes |
| Connecticut | 138% | 263% | 201% | 323% | 138% | Yes |
| Delaware | 138% | 212% | 133% | 212% | 133% | Yes |
| District of Columbia | 138% | 324% | 324% | 324% | 221% | Yes |
| Florida | Not expanded | 196% | 140% | 300% | 27% | No |
| Georgia | Not expanded | 211% | 133% | 247% | 25% | No |
| Hawaii | 138% | 196% | 313% | 313% | 138% | Yes |
| Idaho | 138% | 138% | 138% | 260% | 138% | Yes |
| Illinois | 138% | 213% | 147% | 318% | 138% | Yes |
| Indiana | 138% | 208% | 158% | 250% | 158% | Yes |
| Iowa | 138% | 220% | 167% | 307% | 167% | Yes |
| Kansas | Not expanded | 171% | 149% | 227% | 38% | No |
| Kentucky | 138% | 200% | 164% | 218% | 138% | Yes |
| Louisiana | 138% | 138% | 217% | 255% | 138% | Yes |
| Maine | 138% | 214% | 162% | 305% | 105% | Yes |
| Maryland | 138% | 264% | 322% | 322% | 138% | Yes |
| Massachusetts | 138% | 200% | 150% | 300% | 133% | Yes |
| Michigan | 138% | 200% | 217% | 217% | 133% | Yes |
| Minnesota | 138% | 278% | 275% | 283% | 133% | Yes |
| Mississippi | Not expanded | 194% | 143% | 209% | 22% | No |
| Missouri | 138% | 196% | 153% | 300% | 138% | Yes |
| Montana | 138% | 162% | 143% | 261% | 143% | Yes |
| Nebraska | 138% | 194% | 145% | 213% | 58% | Yes |
| Nevada | 138% | 165% | 165% | 205% | 138% | Yes |
| New Hampshire | 138% | 196% | 196% | 318% | 138% | Yes |
| New Jersey | 138% | 205% | 150% | 355% | 138% | Yes |
| New Mexico | 138% | 250% | 200% | 300% | 133% | Yes |
| New York | 138% | 223% | 154% | 400% | 138% | Yes |
| North Carolina | 138% | 201% | 215% | 215% | 138% | Yes |
| North Dakota | 138% | 175% | 152% | 205% | 41% | Yes |
| Ohio | 138% | 205% | 211% | 211% | 90% | Yes |
| Oklahoma | 138% | 210% | 210% | 210% | 138% | Yes |
| Oregon | 138% | 190% | 305% | 305% | 138% | Yes |
| Pennsylvania | 138% | 215% | 157% | 319% | 138% | Yes |
| Rhode Island | 138% | 253% | 261% | 261% | 133% | Yes |
| South Carolina | Not expanded | 194% | 208% | 208% | 62% | No |
| South Dakota | 138% | 138% | 209% | 209% | 138% | Yes |
| Tennessee | Not expanded | 250% | 142% | 250% | 100% | No |
| Texas | Not expanded | 198% | 144% | 201% | 10% | No |
| Utah | 138% | 144% | 144% | 205% | 138% | Yes |
| Vermont | 138% | 213% | 317% | 317% | 138% | Yes |
| Virginia | 138% | 148% | 148% | 205% | 138% | Yes |
| Washington | 138% | 198% | 215% | 317% | 138% | Yes |
| West Virginia | 138% | 185% | 141% | 300% | 133% | Yes |
| Wisconsin | 138% | 300% | 300% | 300% | 100% | Yes |
| Wyoming | Not expanded | 154% | 154% | 200% | 39% | No |
All figures shown as % of Federal Poverty Level. Limits shown for children ages 1–5. Click state name for full income limit tables with dollar amounts.
Medicaid Limits by Eligibility Category
Adults (ages 19–64)
In the 41 states plus DC that expanded Medicaid under the ACA, non-elderly adults with income up to 138% FPL qualify. That's $1,835/month for a single person and $3,795/month for a family of four in 2026.
In the 10 non-expansion states (Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, Wyoming), non-disabled adults without dependent children generally cannot get Medicaid regardless of income.
Children (under 19)
Children have the most generous Medicaid limits of any group. All states must cover children up to at least 133% FPL, and most states go higher — many cover children up to 200–317% FPL through Medicaid and CHIP. A child in a family of four earning up to $5,500/month may qualify in many states.
Pregnant women
All 50 states cover pregnant women at or above 138% FPL. Many states are more generous — some cover up to 200–215% FPL. Coverage includes prenatal, delivery, and postpartum care. In most states, coverage continues for at least 60 days after birth; many states have extended this to 12 months postpartum.
Parents and caretaker relatives
Parents and caretaker relatives of Medicaid-eligible children can qualify in all states, but limits vary dramatically. In expansion states, parents typically qualify at 138% FPL like other adults. In non-expansion states, limits can be as low as 10–25% FPL — meaning many working poor parents don't qualify.
People with disabilities
People who receive SSI (Supplemental Security Income) are automatically eligible for Medicaid in most states. Others with disabilities may qualify based on income, typically at or below 100% FPL, and may also qualify through the Medicare Savings Programs if they have Medicare.
Use our quick checker to find out if you may qualify based on your state, income, and household size.
Frequently Asked Questions
What is the Medicaid income limit for a family of 4 in 2026?
In expansion states, a family of four can earn up to $3,795/month (138% FPL) and qualify for Medicaid. Children in that same family may qualify at higher income levels — up to $5,500/month or more through Medicaid and CHIP in many states.
Does Medicaid count gross or net income?
Most Medicaid programs use MAGI — Modified Adjusted Gross Income — which is essentially your gross income with a few adjustments. Unlike SNAP, Medicaid does not apply deductions for shelter, dependent care, or earned income. Learn how MAGI is calculated →
Are there asset limits for Medicaid?
For most non-elderly adults and children in expansion states, there are no asset tests — only income matters. However, Medicaid for the elderly and long-term care (nursing home coverage) does have strict asset limits, typically $2,000 for an individual.
Can I have a job and still get Medicaid?
Yes. Working does not disqualify you from Medicaid. What matters is whether your household income is below the eligibility threshold for your state and category. Many full-time workers qualify for Medicaid if their earnings are below 138% FPL.
How are Medicaid income limits different from SNAP limits?
The main differences are: Medicaid uses MAGI (no deductions), while SNAP allows multiple deductions that reduce your countable income. Medicaid's gross income limit for adults in expansion states is 138% FPL, while SNAP's is 130% FPL. SNAP has both a gross and net income test; Medicaid generally only has a gross income test.
What if my income goes up after I enroll in Medicaid?
You are required to report income changes to your state Medicaid agency. If your income rises above the eligibility threshold, you will lose Medicaid coverage. You will typically have a Special Enrollment Period to enroll in marketplace coverage through the ACA.