Alabama Medicaid Income Limits 2026: Chart by Household Size (ALL Kids, Parents, Pregnant)

Alabama has not expanded Medicaid to all adults, and its 2026 charts have no group for adults without children. Children qualify at 146% of the federal poverty level, $1,942 a month for one and $4,015 for a household of four (effective February 2026); parents and other caretaker relatives qualify at only 18%, $240 for one and $495 for four. Every figure below comes from the state agency's own chart, effective February 2026, not from federal averages or the old Medicaid.gov table.

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

Check your income

Coverage group

People in the household

Income period

Household income before taxes

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 Alabama's chart amount for this group.

Your income, a year: $18,000
Household size used in the chart: 1
Alabama chart amount, a year, 146%: $23,304
Alabama chart amount, a month: $1,942

This is not an eligibility decision. Alabama Medicaid Agency decides what income counts (MAGI rules), who is in the household and the final result. Apply to find out: Apply Online (Alabama Medicaid Agency).

Alabama Medicaid income limit chart, 2026

Monthly and annual limits by household size for each group the Alabama Medicaid Agency prints. Bold figures are printed by the state; italic figures are FedRateCalc's calculation (a monthly figure times 12, an annual figure divided by 12). The state chart effective date is February 2026.

Medicaid income limits by household size and coverage group
Household size	Pregnant women (and Plan First)146%Effective February 2026	Parent and Caretaker Relatives18%Effective February 2026	Children under 19 (Medicaid)146%Effective February 1, 2026	ALL Kids Low Fee (top of the range)about 156%Effective February 1, 2026	ALL Kids Fee (top of the range)about 317%Effective February 1, 2026
1	$1,942 a month$23,304 a year	$240 a month$2,880 a year	$1,942 a month$23,304 a year	$2,075 a month$24,900 a year	$4,217 a month$50,604 a year
2	$2,633 a month$31,596 a year	$325 a month$3,900 a year	$2,633 a month$31,596 a year	$2,814 a month$33,768 a year	$5,717 a month$68,604 a year
3	$3,324 a month$39,888 a year	$410 a month$4,920 a year	$3,324 a month$39,888 a year	$3,552 a month$42,624 a year	$7,218 a month$86,616 a year
4	$4,015 a month$48,180 a year	$495 a month$5,940 a year	$4,015 a month$48,180 a year	$4,290 a month$51,480 a year	$8,718 a month$104,616 a year
5	not listed	not listed	$4,707 a month$56,484 a year	$5,029 a month$60,348 a year	$10,218 a month$122,616 a year
6	not listed	not listed	$5,398 a month$64,776 a year	$5,767 a month$69,204 a year	$11,719 a month$140,628 a year
7	not listed	not listed	$6,089 a month$73,068 a year	$6,506 a month$78,072 a year	$13,219 a month$158,628 a year
8	not listed	not listed	$6,780 a month$81,360 a year	$7,244 a month$86,928 a year	$14,720 a month$176,640 a year

Pregnant women (and Plan First): The handout lists Plan First, Pregnant Women and Children (ages 0 to 18) together at 146% and says the amount includes the 5% FPL disregard. It does not say how many unborn children count; the checker counts the expected children in the household as 42 CFR 435.603 says.
Parent and Caretaker Relatives: The handout says the amount is based on 18% of the poverty level and includes the 5% FPL disregard. Alabama has no group for adults without children.
Children under 19 (Medicaid): The ALL Kids chart's Medicaid column gives family sizes 1 to 8; sizes 1 to 4 equal the Medicaid Agency's 146% amounts.
ALL Kids Low Fee (top of the range): The chart prints dollar ranges and no percentages; the top of the Low Fee range is about 156% of the 2026 guideline (FedRateCalc arithmetic).
ALL Kids Fee (top of the range): The chart prints dollar ranges and no percentages; the top of the ALL Kids Fee range is about 317% of the 2026 guideline, which is the 312% shown for Alabama's separate CHIP in the Medicaid.gov table (as of December 1, 2023) plus 5 points.

The Alabama Medicaid Agency's Medicaid Eligibility Handout (01/26, Form 207) prints the MAGI limits "effective February 2026" for family sizes 1 to 4 only and says to see another handout for family sizes over 4. That handout could not be read, so the pregnancy and parent lines stop at 4.
The Alabama Department of Public Health's ALL Kids chart is headed "ALL Kids Monthly Income Guidelines Effective 2/1/2026" and lists family sizes 1 to 8; the page was last updated July 31, 2026.

Chart sources: Alabama Medicaid Agency: Medicaid Eligibility Handout (01/26), Form 207, Medicaid Income Limits for 2026 (MAGI limits effective February 2026); Alabama Department of Public Health: ALL Kids Income Guidelines, effective 2/1/2026.

How Alabama counts the 5 percent disregard

Federal rules tell states to subtract 5 percentage points of the poverty level from income for the eligibility group with the highest income standard. That is why some state charts print a percentage such as 133% and others print the total, such as 138%.

“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)

In Alabama's chart, the amounts for Pregnant women (and Plan First); Parent and Caretaker Relatives; Children under 19 (Medicaid) already include the 5 points, so the table shows the total and the checker above has no separate step for them.

The household size in the chart for a pregnant woman counts the children she is expected to deliver:

“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)

In Alabama's chart, the amounts for ALL Kids Fee (top of the range) equal a standard percentage plus 5 points (for example 138% is 133% plus 5) by FedRateCalc's arithmetic; the chart does not say the 5% disregard is included, so the checker adds nothing on top.

Alabama Medicaid programs and expansion

Alabama 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 Alabama in the column for expansion to adults, and the Alabama Medicaid Agency's 2026 income handout lists Plan First, pregnant women, children, and parents and other caretaker relatives (at 18% of the poverty level) and no group for adults without children.

Alabama Medicaid. The Medicaid Agency's handout lists Plan First, Pregnant Women and Children (ages 0 to 18) at 146% of the poverty level and Parent and Caretaker Relatives at 18%, each described as including the 5% FPL disregard.
ALL Kids. The Department of Public Health's ALL Kids chart lists, for each family size, the Medicaid range, the ALL Kids Low Fee range and the ALL Kids Fee range; children who do not qualify for Medicaid due to income are processed for ALL Kids. The table shows the top of each range.

How to apply for Medicaid in Alabama

The Alabama Medicaid Agency's page for children, parents and other caretakers has an Apply Online link, and says that if a child does not qualify for Medicaid due to income, the application will be processed for the ALL Kids program. You can also apply through the Marketplace at HealthCare.gov, which sends your information to the state agency if you may qualify.

Apply Online (Alabama Medicaid Agency) · HealthCare.gov Medicaid and CHIP

Alabama Medicaid changes in 2027

“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)

On the statute's wording, the requirement applies to individuals in the expansion adult group, and to individuals in a waiver group with coverage equivalent to minimum essential coverage who are 19 to 64, not pregnant, not entitled to or enrolled in Medicare and not otherwise eligible under the State plan. Alabama's 2026 handouts list no expansion adult group and no such waiver group. This is FedRateCalc's reading of the statute together with the groups Alabama publishes; the state decides who is covered.

The federal law behind these changes, Public Law 119-21, is explained with its exemptions and dates on the Medicaid income limits page. The income limits in the table above do not change because of it.

Frequently asked questions

What is the Alabama Medicaid income limit in 2026?

Did Alabama expand Medicaid?

How do I apply for Medicaid in Alabama?

What changes for Alabama Medicaid in 2027?

As of October 30, 2026 none of the Alabama Medicaid Agency pages read for this review describes a community engagement requirement or six-month renewals for Alabama members, and the Agency's 2026 handouts list no group for adults without children. The charts on this page are 2026 charts; the community engagement requirement and six-month renewals are separate from the income limits.

Do the same limits apply to Alabama seniors and people with disabilities?

No. Medicaid for people who are aged, blind or disabled uses different income and resource rules from the MAGI groups in this chart. Ask the Alabama Medicaid Agency or see Medicare vs Medicaid on this site.

How often does Alabama update its Medicaid income limits?

The charts follow the federal poverty guidelines, which HHS updates each year, and Alabama's chart took effect February 2026. FedRateCalc will look for Alabama's 2027 chart after HHS publishes the 2027 guidelines.

FedRateCalc is not a government site and cannot decide eligibility. Charts change when the state updates them; confirm with the Alabama 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 or no longer serves the page. The Medicaid.gov table is dated December 1, 2023 and is used only as a cross-check.