Utah Medicaid Income Limits 2026: Adult Expansion Chart by Household Size

Utah's own chart, effective 2026 (the page prints no date), lets one adult have up to $1,769 a month and a household of four up to $3,658 a month for adults, which is 133% of the federal poverty level. Every figure below comes from the state agency's own chart, effective 2026 (the page prints no date), 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

$

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 Utah's chart amount for this group.

Your income, a year
$18,000
Household size used in the chart
1
Utah chart amount, a year, 133%
$21,228
Utah chart amount, a month
$1,769
Chart amount plus 5 percent of FPL, a year
$22,024.80

This is not an eligibility decision. Utah Department of Health and Human Services (Medicaid) decides what income counts (MAGI rules), who is in the household and the final result. Apply to find out: Apply for Medicaid (Utah DHHS).

Utah Medicaid income limit chart, 2026

Monthly and annual limits by household size for each group the Utah Department of Health and Human Services (Medicaid) 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 2026 (the page prints no date).

Medicaid income limits by household size and coverage group
Household sizeAdult Expansion, adults 19 through 64 (133% of FPL)133%Effective 2026 (the page prints no date)
1$1,769 a month$21,228 a year
2$2,399 a month$28,788 a year
3$3,028 a month$36,336 a year
4$3,658 a month$43,896 a year
5$4,288 a month$51,456 a year
6$4,917 a month$59,004 a year
7$5,547 a month$66,564 a year
8$6,176 a month$74,112 a year
  • Adult Expansion, adults 19 through 64 (133% of FPL): The Medicaid Expansion page prints "Maximum Gross Income Per Month" and "Per Year" by family size and prints no date. The amounts equal 133% of the 2026 guideline, while the page text still says 138% ($17,608 for an individual or $36,156 for a family of four), figures that are older. The checker shows the 5 point disregard as a separate band, because the page prints the plain 133%.
  • Utah DHHS's Medicaid Expansion page prints a Maximum Income Guidelines table by family size, monthly and yearly, and no effective date; its text still says income up to 138% of the federal poverty level, with older dollar examples. This page shows only that table, because the Utah Medicaid Policy Manual's 2026 income table (Table VII) and the Utah Medical Programs Summary could not be read: the manual site refused every direct connection and no 2026 Internet Archive capture exists, and the Summary on the Medicaid site is behind the same block.
  • The only copy of the Medicaid Policy Manual's Table VII that could be read is the Internet Archive capture of July 10, 2025, marked "Effective Date: March 1, 2025". It lists 139% FPL for pregnant women and children age 0-5, 133% FPL for children age 6-18 and for the Adult Expansion, 150% FPL for CHIP Plan B and 200% FPL for CHIP Plan C. These are percentages from the 2025 table, not 2026 limits, and no dollar amounts are taken from it.

Chart sources: Utah DHHS Medicaid: Medicaid Expansion (maximum income guidelines table; the page prints no date); Utah DHHS Medicaid: Who Is Eligible?.

How Utah 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)

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 Utah's chart, the amounts for Adult Expansion, adults 19 through 64 (133% of FPL) are the plain percentage. The checker above adds 5 percent of the 2026 guideline to those amounts as its own calculation to show income that is just over the printed amount.

Utah Medicaid programs and expansion

Utah DHHS's Medicaid Expansion page says Utah adults 19 through 64 qualify under income requirements that vary by household size, and its table lists $1,769 a month for one person. Medicaid.gov's table, as of December 1, 2023, shows 133% for Utah.

  • Adult Expansion. Utah DHHS says the community engagement requirement applies to adults in the Adult Expansion and Targeted Adult Medicaid (TAM) programs, members age 19–64.
  • Utah Medicaid programs. Utah DHHS lists Medicaid programs for a child under age 1, a child age 0-5, a child age 6-18, a pregnant woman, parent / caretaker relative Medicaid, 12 month transitional Medicaid and others, and says the monthly income standard varies between approximately 55% and 133% of the Federal Poverty Level depending on category.

How to apply for Medicaid in Utah

Utah DHHS says you may apply in person, by mail or online; the Department of Workforce Services (DWS) will contact you, and you can apply at any DWS office. Call DWS with questions about applying: Salt Lake County (801) 526-0950 or toll-free 1-866-435-7414. You can also apply through the Marketplace at HealthCare.gov, which sends your information to the state agency if you may qualify.

Apply for Medicaid (Utah DHHS) · HealthCare.gov Medicaid and CHIP

Utah Medicaid changes in 2027

Utah DHHS says that starting January 1, 2027 adults in the Adult Expansion and Targeted Adult Medicaid (TAM) programs, age 19–64, must show 80 hours of qualifying activity each month unless they meet an exclusion, with proof possibly needed every 6 months at review.

“The new federal law changed the rules for how some Medicaid members qualify for and keep their Medicaid coverage. This new rule says that certain members must now show they are working or active in their community.”
Utah DHHS Medicaid, Community Engagement Requirement (source)
“Starting January 1, 2027, if this rule applies you, you must show that you are doing one or a combination of these things for 80 hours each month in order to keep your Medicaid: Working a job. Training for a job. Going to school (at least half-time). Volunteering (community service). Earning at least $580 a month. Showing why you cannot work or volunteer.”
Utah DHHS Medicaid, Community Engagement Requirement (source)
“This new rule applies to adults in the Adult Expansion and Targeted Adult Medicaid (TAM) programs. This includes members, age 19–64, unless they meet specific exclusion criteria.”
Utah DHHS Medicaid, Community Engagement Requirement (source)
“Adults who are: Pregnant or receiving postpartum Medicaid In foster care (or were in the past) American Indian or Alaska Native A parent, guardian, or caregiver for a child age 13 or younger, or for a person with a disability A veteran with a 100% disability Medically frail or have special needs, including: Blindness or a disability A substance use disorder or mental health condition A condition that makes it hard to do daily tasks Subject to work requirements on the SNAP or TANF programs Incarcerated currently Participating in a drug or alcohol treatment and rehabilitation program”
Utah DHHS Medicaid, Community Engagement Requirement (source)

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 Utah Medicaid income limit in 2026?

Utah's own chart, effective 2026 (the page prints no date), lets one adult have up to $1,769 a month and a household of four up to $3,658 a month for adults, which is 133% of the federal poverty level.

Did Utah expand Medicaid?

Utah DHHS's Medicaid Expansion page says Utah adults 19 through 64 qualify under income requirements that vary by household size, and its table lists $1,769 a month for one person. Medicaid.gov's table, as of December 1, 2023, shows 133% for Utah.

How do I apply for Medicaid in Utah?

Utah DHHS says you may apply in person, by mail or online; the Department of Workforce Services (DWS) will contact you, and you can apply at any DWS office. Call DWS with questions about applying: Salt Lake County (801) 526-0950 or toll-free 1-866-435-7414. You can also apply through the Marketplace at HealthCare.gov, which sends your information to the state agency if you may qualify.

What changes for Utah Medicaid in 2027?

Utah DHHS says that starting January 1, 2027 adults in the Adult Expansion and Targeted Adult Medicaid (TAM) programs, age 19–64, must show 80 hours of qualifying activity each month unless they meet an exclusion, with proof possibly needed every 6 months at review. 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 Utah 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 Utah Department of Health and Human Services (Medicaid) or see Medicare vs Medicaid on this site.

How often does Utah update its Medicaid income limits?

The charts follow the federal poverty guidelines, which HHS updates each year, and Utah's chart took effect 2026 (the page prints no date). FedRateCalc will look for Utah's 2027 chart after HHS publishes the 2027 guidelines.

Related pages

FedRateCalc is not a government site and cannot decide eligibility. Charts change when the state updates them; confirm with the Utah Department of Health and Human Services (Medicaid) 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.