Medicaid eligibility is based on having an income less than 133 percent of the federal poverty line for states that are expanding Medicaid under the Affordable Care Act. Eligibility is based on income less than 100 percent of the FPL for states that are not expanding Medicaid, and restrictions apply.
- Determine if your state is expanding Medicaid
Access the Healthcare Marketplace website, and navigate to the Medicaid eligibility page. A link is provided that shows which states have expanded their Medicaid programs.
- Calculate your income to determine if you qualify
A chart is provided on the Marketplace website showing the FPL based on family size. For example, the federal poverty level for a single person is $11,670. In states that are expanding Medicaid, all single people making less that 133 percent of the FPL, or $15,521 for a single person, qualify for Medicaid.
- Determine if you qualify for Medicaid based on other criteria
Residents of states that are not expanding Medicaid may qualify even if their income is above the FPL. Factors such as disability and dependent children are sometimes considered in these states. In states that are expanding Medicaid, individuals or families making over 133 percent of the FPL cannot qualify for Medicaid under any circumstance.
- Apply for Medicaid
If you believe you are eligible for Medicaid, apply on the Marketplace website or through your state's Medicaid office.