Medicaid Income Limits 2026: Eligibility Chart by State and Household Size

Medicaid income limits in 2026 depend on your state and coverage group: in a state that expanded Medicaid, an adult 19 to 64 qualifies at 133% of the federal poverty level, shown as 138% in many charts, which is $22,025 a year for one person in Pennsylvania, Virginia and New York. The comparison below covers Ohio, Colorado, Texas, Indiana, Pennsylvania, Virginia, New York, North Carolina, Florida, Michigan, Illinois, Kentucky, Missouri, South Carolina, Maryland and Georgia, and each state has its own page. It uses each state agency's own 2026 chart, except where the state prints only percentages (Michigan, marked below) and Texas parents and caretakers, whose table dates from 2015.

Maintained by Archie Chang · Charts and sources checked October 30, 2026 · Methodology & sources

Check your income

$

Enter the whole household's countable income. States count income with MAGI rules, so this is a starting point, not a decision.

Result

Your income is at or below Ohio's chart amount for this group.

Your income, a year
$18,000
Household size used in the chart
1
Ohio chart amount, a year, 133%
$21,228
Ohio chart amount, a month
$1,769
Chart amount plus 5 percent of FPL, a year
$22,026

This is not an eligibility decision. Ohio Department of Medicaid decides what income counts (MAGI rules), who is in the household and the final result. Apply to find out: Ohio Benefits Self-Service Portal.

Medicaid income eligibility chart: sixteen states compared

Monthly income limits for a household of one and of four, as each state prints them (bold), or in italics as FedRateCalc's calculation, rounded to a dollar: an annual figure divided by 12, or, for Michigan, the state's percentage times the 2026 poverty guideline. Each state's page has every household size up to 8 and the effective dates.

Medicaid monthly income limits for a household of one and four, by state and group
StateAdults 19 to 64household of 1 / household of 4Parents and caretakershousehold of 1 / household of 4Pregnanthousehold of 1 / household of 4Childrenhousehold of 1 / household of 4
Ohio$1,769 / $3,658133%$1,197 / $2,47590%$2,660 / $5,500200%$2,740 / $5,665206%
Colorado$1,769 / $3,658133%$905 / $1,87068%$2,594 / $5,363195%$1,889 / $3,905142%
Texasno such group in the chart$103 / $277dollar limits$2,634 / $5,445198%$1,916 / $3,960144%
Indiana$1,835.50 / $3,795.50133% plus the 5% disregard (138%)no such group in the chartnot listed / $5,857.50about 213%$3,391.50 / $7,012.50about 255%
Pennsylvania$1,835 / $3,795138% of FPIG (133% plus the 5% disregard)no such group in the chart$2,860 / $5,913215%$2,089 / $4,318157%
Virginia$1,835 / $3,795133% plus the 5% disregard (138%)no such group in the chartnot listed / $4,070143% plus the 5% disregard (148%)$1,969 / $4,070143% plus the 5% disregard (148%)
New York$1,836 / $3,795138% (133% plus the 5% disregard)$1,836 / $3,795138%not listed / $6,133223%$2,049 / $4,235154%
North Carolina$1,769 / $3,658133%no such group in the chart$2,607 / $5,390196%$2,807 / $5,803211%
Floridano such group in the chart$356 / $723dollar limit plus disregards (chart total)$2,608 / $5,391185% plus disregards (chart total)$1,930 / $3,989133% plus disregards (chart total)
Michigan$1,769 / $3,658133%$718 / $1,48554%$2,594 / $5,363195%$2,128 / $4,400160%
Illinois$1,835 / $3,795138% (includes the 5% disregard)$466 / $963dollar limitsnot listed / $5,857213% (includes the 5% disregard)$4,229 / $8,745318% (includes the 5% disregard)
Kentucky$1,836 / $3,795138%no such group in the chart$2,660 / $5,500200%$2,900 / $5,995218%
Missouri$1,769 / $3,658133%$141 / $353dollar limits$2,607 / $5,390196%$1,968 / $4,070148%
South Carolinano such group in the chart$824.60 / $1,70562%$2,580.20 / $5,335194%$2,766.40 / $5,720208%
Maryland$1,835 / $3,795about 138%no such group in the chartnot listed / $7,260about 264%$4,283 / $8,855about 322%
Georgia$1,330 / $2,750100% (Georgia Pathways)not listed / $787dollar limits plus 5% (chart total)not listed / $6,187220% plus 5% (225%)$2,047 / $4,234149% plus 5% (154%)
  • Children column: Ohio: Children without creditable insurance; Colorado: Children 0 to 18; Texas: Children 1 to 5 (TP 48); Indiana: Children through age 18; Pennsylvania: Children age 1 to 5; Virginia: Children under 19; New York: Children age 1 through 5; North Carolina: Children 0 through 18 (top of the MIC ranges); Florida: Children ages 1 to 5; Michigan: Children age 1 to 19 (U-19); Illinois: Children ("Children under 18 years old (All Kids)"); Kentucky: Children under 19, uninsured, 218% column; Missouri: Kids ages 1 to 18; South Carolina: Children under 19 (Partners for Healthy Children); Maryland: Children; Georgia: Children 1-5 ("149% Child 1-5" column, Plus 5%).
  • Pregnant column, for every state: Ohio: Pregnant women; Colorado: Pregnant women; Texas: Pregnant women (TP 40); Indiana: Pregnant individuals; Pennsylvania: Pregnant women; Virginia: Pregnant women; New York: Pregnant consumers; North Carolina: Pregnant individuals (MPW); Florida: Pregnant women; Michigan: Pregnant women of any age (PW); Illinois: Pregnant women ("Moms & Babies"); Kentucky: Pregnant women, 200% column (chart heading: "Children (Under 19 Years Old) and Pregnant Women Eligible for Medicaid"); Missouri: Pregnant women; South Carolina: Pregnant women; Maryland: Pregnant; Georgia: Pregnant women ("220% PGW Newborn" column, Plus 5%). The amounts are the chart's household sizes 1 and 4 as printed. For a pregnant woman the household counts the children she is expected to deliver, so a pregnant woman expecting one child is a chart household of 2; Indiana, Virginia, New York, Illinois, Maryland and Georgia print no household of 1 for pregnancy.
  • Pennsylvania prints its adult limit as an annual amount and Missouri prints every group as an annual amount. Texas, Florida and South Carolina have no group for adults without children in the home, so their adult cells are empty; Georgia's adult cell is Georgia Pathways, a program with a 100% limit and a requirement of 80 hours a month of qualifying activities. The Texas parents and caretakers cell ($103 and $277) comes from the Texas Works Handbook table marked "Revision 15-4; Effective October 1, 2015", not from a 2026 chart.
  • Michigan prints percentages only in its manual BEM 211, so its cells are FedRateCalc's calculation from the state's percentage and the 2026 poverty guidelines, not a state chart. Georgia's cells come from the DFCS Medicaid Policy Manual, Appendix A2, effective 03/01/2026 (the "Plus 5%" columns); Georgia's PeachCare for Kids page table is not used because it still carries 2024 amounts.
“In the case of determining the family size of a pregnant woman, the pregnant woman is counted as herself plus the number of children she is expected to deliver. In the case of determining the family size of other individuals who have a pregnant woman in their household, the pregnant woman is counted, at State option, as either 1 or 2 person(s) or as herself plus the number of children she is expected to deliver.”
42 CFR 435.603(b), definition of family size (source)

Why Medicaid charts show 138%, not 133%

The adult group in the expansion is set in the law at 133% of the poverty line:

“who are under 65 years of age, not pregnant, not entitled to, or enrolled for, benefits under part A of subchapter XVIII, or enrolled for benefits under part B of subchapter XVIII, and are not described in a previous subclause of this clause, and whose income (as determined under subsection (e)(14)) does not exceed 133 percent of the poverty line (as defined in section 1397jj(c)(5) of this title) applicable to a family of the size involved, subject to subsection (k);”
42 U.S.C. 1396a(a)(10)(A)(i)(VIII), as printed in the 2024 Code; Public Law 119-21 section 71119(b) later changed "subject to subsection (k)" to "subject to subsections (k) and (xx)" (source)
“Effective January 1, 2014, the agency must provide Medicaid to individuals who: ( 1 ) Are age 19 or older and under age 65; ( 2 ) Are not pregnant; ( 3 ) Are not entitled to or enrolled for Medicare benefits under part A or B of title XVIII of the Act; ( 4 ) Are not otherwise eligible for and enrolled for mandatory coverage under a State's Medicaid State plan in accordance with subpart B of this part; and ( 5 ) Have household income that is at or below 133 percent FPL for the applicable family size.”
42 CFR 435.119(b) (source)

A second rule tells the state to count income with a disregard of 5 percentage points of the poverty line:

“For purposes of determining the income eligibility of an individual for medical assistance whose eligibility is determined based on the application of modified adjusted gross income under subparagraph (A), the State shall— (i) determine the dollar equivalent of the difference between the upper income limit on eligibility for such an individual (expressed as a percentage of the poverty line) and such upper income limit increased by 5 percentage points; and (ii) notwithstanding the requirement in subparagraph (A) with respect to use of modified adjusted gross income, utilize as the applicable income of such individual, in determining such income eligibility, an amount equal to the modified adjusted gross income applicable to such individual reduced by such dollar equivalent amount.”
42 U.S.C. 1396a(e)(14)(I) (source)
“Effective January 1, 2014, in determining the eligibility of an individual using MAGI-based income, a state must subtract an amount equivalent to 5 percentage points of the Federal poverty level for the applicable family size only to determine the eligibility of an individual for medical assistance under the eligibility group with the highest income standard using MAGI-based methodologies in the applicable Title of the Act, but not to determine eligibility for a particular eligibility group.”
42 CFR 435.603(d)(4) (source)

Subtracting 5 points of the poverty line from income is the same test as comparing income with 133% plus 5 points, or 138%. In their adult charts Indiana, Pennsylvania, Virginia, New York and Illinois print totals that include the 5 points, Kentucky and Maryland print adult totals equal to 133% plus 5 points (FedRateCalc's inference; the charts do not say so), while Ohio, Colorado, North Carolina, Michigan and Missouri print the plain 133% and apply the disregard when they count income (Texas, Florida and South Carolina have no adult group at that standard; Georgia lists Georgia Pathways at 100%, a different program). The checker above adds the disregard for charts that print the plain percentage and marks the difference. Note that the disregard applies to the group with the highest income standard, not to every group.

“The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to a 5% FPL disregard.”
Medicaid.gov eligibility levels page (table as of December 1, 2023) (source)

Expansion and non-expansion states

“Some states have expanded their Medicaid programs to cover all people with household incomes below a certain level. Others haven't.”
HealthCare.gov, Getting Medicaid & CHIP coverage (source)
“Even if your state hasn't expanded Medicaid, you should fill out an application.”
HealthCare.gov, Getting Medicaid & CHIP coverage (source)

What each covered state's own sources show:

  • Ohio. Ohio covers adults 19 to 64 in what it calls Group VIII (also known as MAGI Adult). Its 2026 chart lists "MAGI Adults 133%".
  • Colorado. HCPF's March 2026 presentation calls the 133% adult group "Medicaid Expansion".
  • Texas. Medicaid.gov's table, as of December 1, 2023, shows "No" for Texas in the column for expansion to adults, and the Texas Works Handbook income table lists no group for adults without children in the home.
  • Indiana. Generally, Indiana serves adults 19 and older who are not disabled or institutionalized through the Healthy Indiana Plan (HIP).
  • Pennsylvania. Pennsylvania's general eligibility page lists "Adults ages 19-64 with incomes at or below 133 percent of the Federal Income Poverty Guidelines (FPIG)" as a MAGI group.
  • Virginia. DMAS's 2026 chart lists "MAGI Adults 133% Federal Poverty Level (FPL) Income Limits", and its work requirement page describes "Medicaid Expansion coverage" for adults 19 to 64.
  • New York. New York's 2026 MAGI standards set parents and caretaker relatives, adults 19 to 64 and other adult groups at 138% of FPL, the 133% adult group plus the 5% disregard.
  • North Carolina. NC DHHS's manual MA-3321 is titled "MAGI Medicaid & Medicaid Expansion Income Limits" and lists a 133% adult group (code MXP-N).
  • Florida. Florida has not expanded Medicaid to adults without children in the home. Medicaid.gov's table, as of December 1, 2023, shows "No" for Florida in the column for expansion to adults, and Florida's April 2026 chart and Appendix A-7 list no adult group other than parents and caretakers and people 19 and 20.
  • Michigan. MDHHS calls the Healthy Michigan Plan (HMP) "Michigan’s Medicaid expansion program created under the Affordable Care Act" and covers adults 19 to 64 at or below 133% of the federal poverty level using MAGI.
  • Illinois. HFS says that in Illinois households earning up to 138% of the federal poverty level qualify for Medicaid, and calls the group "ACA Adults": generally people ages 19 to 64 who do not have dependent children under 18 at home and are not on Medicare.
  • Kentucky. The Department for Medicaid Services says its work requirement applies to adults ages 19 to 64 enrolled in Medicaid based only on their income, "also known as Medicaid Expansion". The Kentucky chart prints 138% for MAGI Medicaid; by FedRateCalc's arithmetic that is the 133% expansion group plus 5 points, which the chart does not say itself.
  • Missouri. The DSS income page lists "MO HealthNet for Expansion Adults" at 133% of the federal poverty level, and the H.R.1 page says the Adult Expansion Group (AEG) income limit is 133%.
  • South Carolina. South Carolina has not expanded Medicaid to adults without dependent children. Medicaid.gov's table, as of December 1, 2023, shows "No" for South Carolina in the column for expansion to adults (with a footnote about a section 1115 demonstration), and SCDHHS's 2026 program page lists no adult group without a dependent child.
  • Maryland. The Department of Health's chart lists an Adults column at the 138% level and its changes page says some adults ages 19 to 64 face new rules in January 2027; Medicaid.gov's table, as of December 1, 2023, shows the expansion group at 133% for Maryland.
  • Georgia. Georgia has not expanded Medicaid to all adults at 133% of the federal poverty level. Medicaid.gov's table, as of December 1, 2023, shows "No" for Georgia in the column for expansion to adults, and Georgia offers Pathways to Coverage, a Medicaid program for adults 19 to 64 up to 100% of the federal poverty level who complete 80 hours of qualifying activities a month and do not qualify for any other type of Medicaid.

Medicaid.gov's table lists percentages for every state. Its newest table is dated December 1, 2023, so it is shown below only as a cross-check and not as a 2026 limit.

“The following table provides eligibility levels in each state for key coverage groups that use Modified Adjusted Gross Income (MAGI), as of December 1, 2023.”
Medicaid.gov eligibility levels page (source)
Medicaid.gov percent of FPL by state, as of December 1, 2023
State (CMS table as of December 1, 2023)Expansion adultsParents and caretakersPregnantChildren 0-1Children 1-5Children 6-18
Ohio133%90%200%206%206%206%
Colorado133%68%195%142%142%142%
TexasNo12%($)198%198%144%133%
Indiana133%15%($)208%208%158%158%
Pennsylvania133%33%215%215%157%133%
Virginia133%49%($)143%143%143%143%
New York200%133%218%218%149%149%
North Carolina133%36%($)196%211%211%211%
FloridaNo24%($)191%206%140%133%
Michigan133%54%195%212%212%212%
Illinois133%133%208%313%313%313%
Kentucky133%19%($)195%213%213%213%
Missouri133%15%($)196%196%150%150%
South CarolinaNo62%194%208%208%208%
Maryland133%123%259%317%317%317%
GeorgiaNo28%($)220%205%149%133%

Some 2026 state charts are 5 points above the CMS percentage because they print the total with the disregard (for example Virginia's 143% in the table and 148% in its 2026 chart, New York's 218% and 223%, Illinois's 208% and 213%), and some match it because the state prints the plain percentage. Others differ for their own reasons. Florida's 2026 chart percentages (185%, 200% and 133%) sit below CMS's 191%, 206% and 140%, because Florida adds a standard disregard on top; Missouri's kids 1 to 18 line is 148% against 150% in the CMS table; and Michigan's manual BEM 211 lists 160% and 195% for children against 212% in the CMS table. Where a state source and the CMS table disagree, the state source is the one used here. The CMS column for expansion adults shows "No" for Texas, Florida, Georgia and South Carolina (South Carolina's "No" carries a footnote about a section 1115 demonstration covering some additional low-income adults). For New York it shows 200%, and the table's note says adults with incomes from above 133% and up to 200% of the FPL are covered through the Basic Health Program (BHP).

How to apply for Medicaid

You can apply through HealthCare.gov or directly with the state agency. Each state's route:

Medicaid changes in 2027: Public Law 119-21

Public Law 119-21 (enacted July 4, 2025) adds a community engagement requirement for adults in the expansion group and moves their eligibility reviews to every six months. Below is what the enacted text says. The requirement does not change the income limits in the charts above.

Who it applies to

“The term `applicable individual' means an individual (other than a specified excluded individual (as defined in clause (ii)))-- (I) who is eligible to enroll (or is enrolled) under the State plan under subsection (a)(10)(A)(i)(VIII); or (II) who-- (aa) is otherwise eligible to enroll (or is enrolled) under a waiver of such plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and as determined in accordance with standards prescribed by the Secretary in regulations); and (bb) has attained the age of 19 and is under 65 years of age, is not pregnant, is not entitled to, or enrolled for, benefits under part A of title XVIII, or enrolled for benefits under part B of title XVIII, and is not otherwise eligible to enroll under such plan.”
Public Law 119-21, section 71119(a), new section 1902(xx)(9)(A)(i), the whole definition of an applicable individual (source)

That definition names the expansion adult group or an equivalent waiver, which is why the Texas, Florida, Georgia and South Carolina pages say what the requirement does and does not reach in their state; none of these four covers all adults at 133% of the poverty level.

When it starts

“Except as provided in paragraph (11), beginning not later than the first day of the first quarter that begins after December 31, 2026, or, at the option of the State under a waiver or demonstration project under section 1115 or the State plan, such earlier date as the State may specify, subject to the succeeding provisions of this subsection, a State shall provide, as a condition of eligibility for medical assistance for an applicable individual, that such individual is required to demonstrate community engagement under paragraph (2)--”
Public Law 119-21, section 71119(a), new section 1902(xx)(1) of the Social Security Act (opening words) (source)
“An exemption granted under subparagraph (A) shall expire not later than December 31, 2028, and may not be renewed beyond such date.”
Public Law 119-21, section 71119(a), new section 1902(xx)(11)(C)(i) (source)
“Notwithstanding section 1115(a), the provisions of this subsection may not be waived.”
Public Law 119-21, section 71119(a), new section 1902(xx)(10) (source)

What counts

“an applicable individual demonstrates community engagement under this paragraph for a month if such individual meets 1 or more of the following conditions with respect to such month, as determined in accordance with criteria established by the Secretary through regulation: (A) The individual works not less than 80 hours. (B) The individual completes not less than 80 hours of community service. (C) The individual participates in a work program for not less than 80 hours. (D) The individual is enrolled in an educational program at least half-time. (E) The individual engages in any combination of the activities described in subparagraphs (A) through (D), for a total of not less than 80 hours. (F) The individual has a monthly income that is not less than the applicable minimum wage requirement under section 6 of the Fair Labor Standards Act of 1938, multiplied by 80 hours.”
Public Law 119-21, section 71119(a), new section 1902(xx)(2), the lead-in and subparagraphs (A) to (F) (the list continues with a seasonal-worker option in (G)) (source)

The list continues with an option for seasonal workers, and the exceptions in paragraph (3) of the new section apply to the requirement.

Who is exempt

“For purposes of clause (i), the term `specified excluded individual' means an individual, as determined by the State (in accordance with standards specified by the Secretary)-- (I) who is described in subsection (a)(10)(A)(i)(IX); (II) who-- (aa) is an Indian or an Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act); (bb) is a California Indian described in section 809(a) of such Act; or (cc) has otherwise been determined eligible as an Indian for the Indian Health Service under regulations promulgated by the Secretary; (III) who is the parent, guardian, caretaker relative, or family caregiver (as defined in section 2 of the RAISE Family Caregivers Act) of a dependent child 13 years of age and under or a disabled individual; (IV) who is a veteran with a disability rated as total under section 1155 of title 38, United States Code; (V) who is medically frail or otherwise has special medical needs (as defined by the Secretary), including an individual-- (aa) who is blind or disabled (as defined in section 1614); (bb) with a substance use disorder; (cc) with a disabling mental disorder; (dd) with a physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living; or (ee) with a serious or complex medical condition; (VI) who-- (aa) is in compliance with any requirements imposed by the State pursuant to section 407; or (bb) is a member of a household that receives supplemental nutrition assistance program benefits under the Food and Nutrition Act of 2008 and is not exempt from a work requirement under such Act; (VII) who is participating in a drug addiction or alcoholic treatment and rehabilitation program (as defined in section 3(h) of the Food and Nutrition Act of 2008); (VIII) who is an inmate of a public institution; or (IX) who is pregnant or entitled to postpartum medical assistance under paragraph (5) or (16) of subsection (e).”
Public Law 119-21, section 71119(a), new section 1902(xx)(9)(A)(ii), the whole definition of a specified excluded individual (source)

Six-month redeterminations

“Subject to clause (ii), with respect to redeterminations of eligibility for medical assistance under a State plan (or waiver of such plan) scheduled on or after the first day of the first quarter that begins after December 31, 2026, a State shall make such a redetermination once every 6 months for the following individuals: (I) Individuals enrolled under subsection (a)(10)(A)(i)(VIII).”
Public Law 119-21, section 71107(a), new section 1902(e)(14)(L)(i) and (ii) (source)
“The requirements described in clause (i) shall not apply to any individual described in subsection (xx)(9)(A)(ii)(II).”
Public Law 119-21, section 71107(a), new section 1902(e)(14)(L)(ii) (source)

What each state says (as of October 30, 2026)

  • Ohio. Ohio's Group VIII page says the new requirements are not yet in effect.
  • Colorado. HCPF's March 2026 presentation gives January 1, 2027 for both changes and says timing is subject to change.
  • Texas. Texas has no expansion adult group in its chart. The requirement in Public Law 119-21 is written for adults enrolled or eligible under the expansion group, or under an equivalent waiver, so this page shows no Texas start date; Texas HHSC has not published a Texas-specific notice that this page could find as of October 30, 2026.
  • Indiana. FSSA says enforcement begins January 1, 2027 for new applicants and for redeterminations initiated on or after that date.
  • Pennsylvania. DHS lists January 1, 2027 for work and community engagement requirements and for six-month renewals.
  • Virginia. DMAS lists January 1, 2027 for applicants, with current members checked at renewals scheduled for March 31, 2027 or later.
  • New York. The Department of Health's Medicaid page gives January 1, 2027 and does not, on that page, say which groups the requirement applies to.
  • North Carolina. NC Medicaid's eligibility page gives January 1, 2027 for the work and community engagement requirement.
  • Florida. Florida's Agency for Health Care Administration lists Section 71107 (eligibility redeterminations) and Section 71119 (community engagement) of Public Law 119-21 under the heading "OBBBA Sections Affecting Expansion States Only" in its October 8, 2025 presentation, and Florida's chart lists no expansion adult group; this page found no Florida notice that gives a start date for either requirement.
  • Michigan. MDHHS says Healthy Michigan Plan work requirements begin January 1, 2027, and on a page captured October 6, 2026 it says it is reviewing the federal rule released Monday, June 1.
  • Illinois. HFS's flyer gives January 1, 2027 for both work requirements and six-month renewals for ACA Adults, and says most parents and caretaker relatives are not in that group.
  • Kentucky. Kentucky's Department for Medicaid Services and Health Benefit Exchange pages both give January 1, 2027 and say the requirement applies to adults 19 to 64 enrolled in Medicaid based only on their income, also known as Medicaid Expansion.
  • Missouri. Missouri's H.R.1 timeline, captured April 11, 2026, lists December 2026 for work requirements and twice-yearly redeterminations for the adult expansion population and says states may request a good faith effort extension through Dec 31, 2028.
  • South Carolina. South Carolina's 2026 program pages list no expansion adult group, and the community engagement requirement in Section 71119 of Public Law 119-21 is written for adults in the expansion group or in an equivalent waiver; this page found no SCDHHS notice with a South Carolina start date, and CMS's December 1, 2023 footnote says the state has a section 1115 demonstration covering some additional low-income adults, which the sources checked do not connect to the requirement.
  • Maryland. The Maryland Department of Health lists work requirements and six-month renewals for some adults 19 to 64 as of January 2027 and says Maryland Medicaid will send an official notice before any change that affects you.
  • Georgia. Georgia's Pathways page says the Pathways eligibility requirements change on January 1, 2027 and that current members will not be affected until renewal in 2027; it says the requirements for an applicable individual, including income at or below 100% of the federal poverty level, are not changing for Pathways, and it describes only Pathways, not the traditional Medicaid groups.

Medicaid for people 65 or older, or with a disability

Aged, blind and disabled Medicaid and long-term care use different income and resource rules from the MAGI groups above, so those limits are not in the tables. New York's Department of Health prints a 2026 income level for people 65 and older, shown on the New York page. For how Medicaid fits with Medicare, see Medicare vs Medicaid and Extra Help income limits.

Medicaid income limits by state

Frequently asked questions

What is the Medicaid income limit in 2026?

There is no single national number. In a state that has expanded Medicaid, adults 19 to 64 qualify at 133% of the federal poverty level, and the state charts show 138% because of a 5 percentage point disregard. For one person that is $22,025 a year as Pennsylvania, Virginia and New York print it. Limits for parents, pregnant women and children are set by each state and differ widely, as the comparison table on this page shows.

Why do Medicaid charts show 138% instead of 133%?

The law sets the adult limit at 133% of the poverty line, and a separate rule tells the state to count income with a disregard worth 5 percentage points of the poverty line. Subtracting those 5 points from income is the same as testing income against 138%. Some states print 133% and subtract the disregard when they count income; others print the 138% total.

Do these limits apply in every state?

No. Medicaid is run by each state within federal rules. Of the sixteen states here, Texas, Florida, South Carolina and Georgia have not expanded Medicaid to all adults at 133% of the federal poverty level: the Medicaid.gov table, as of December 1, 2023, shows "No" for each of them, and their 2026 materials list no such group (Georgia has Pathways to Coverage, with its own rules). HealthCare.gov says some states have expanded Medicaid to cover all people with household incomes below a certain level and others have not, and that you should apply anyway.

How is household income counted?

Most of these groups use modified adjusted gross income (MAGI), counted much like a tax return, and household size is the people counted in your household. For a pregnant woman the federal rule counts her plus the number of children she is expected to deliver. The state agency makes the final call on what income counts and who is in the household.

What changes for Medicaid in 2027?

Public Law 119-21 (July 4, 2025) adds a community engagement requirement and six-month redeterminations for adults in the expansion group. The law says a State must provide the requirement beginning not later than the first day of the first quarter that begins after December 31, 2026, with exemptions listed in the law, and the Secretary may exempt a State that shows a good faith effort for no later than December 31, 2028. Colorado, Illinois, Indiana, Kentucky, Michigan, New York, North Carolina, Ohio, Pennsylvania and Virginia each name January 1, 2027 on their own pages, Maryland says January 2027, Missouri's timeline says December 2026 and Georgia names January 1, 2027 for its Pathways program. The requirement does not change the income limits in the charts.

Are Medicaid limits for people 65 or older or with a disability the same?

No. Medicaid for people who are aged, blind or disabled and Medicaid long-term care use different income and resource rules and are not in the main tables. New York's Department of Health publishes a 2026 income level for people 65 and older, shown on the New York page. See Medicare vs Medicaid and Extra Help income limits for the related programs.

How do I apply for Medicaid?

You can apply through HealthCare.gov or directly through your state Medicaid agency, and HealthCare.gov says you can apply any time of year. Each state page lists the agency's own application route. Apply even if you are not sure you qualify, because the state decides.

When will the 2027 Medicaid income charts come out?

As of October 30, 2026 the 2027 HHS poverty guidelines are not published, and none of the sixteen state charts on this page uses 2027 numbers. HHS usually publishes the guidelines in January (the 2026 notice appeared on January 15, 2026), and the states then update their charts. In 2026 the effective dates printed on the covered charts run from January 1 to April 1, except Missouri's page, which is dated as of October 1, 2026, Illinois, whose chart prints only the year, and Michigan, which has no chart: its percentages are in a manual dated December 1, 2025.

Related pages

FedRateCalc is not a government site and cannot decide eligibility. State charts change when the state updates them; confirm with your state Medicaid agency before relying on a figure.

Sources

All sources are government pages, read October 30, 2026, except the pages marked below, which were read from Internet Archive captures because the agency's site refused direct connections. The Medicaid.gov table is dated December 1, 2023 and is used only as a cross-check.