Medicaid Eligibility Calculator 2026 — By State

As of 2026, 42 states and Washington DC have expanded Medicaid under the Affordable Care Act, covering adults aged 19 to 64 with incomes up to 138% of the federal poverty level. The remaining states have not expanded Medicaid, creating a coverage gap where childless adults earning too much for traditional Medicaid but too little for subsidized marketplace insurance have no realistic health coverage option.

Medicaid eligibility works differently depending on whether your state has expanded coverage. In expansion states, any adult with income at or below 138% FPL qualifies regardless of whether they have children, a disability, or any other traditional qualifying category. In non-expansion states, adults without dependent children typically cannot qualify for Medicaid at all, no matter how little they earn, and parents face extremely low income thresholds — often below 30% of the poverty level.

Children are covered in every state through either Medicaid or the Children's Health Insurance Program (CHIP), typically at much higher income thresholds than adults. Pregnant women also qualify in every state, though the income cutoff varies. Select your state above to see the exact income limits and eligibility rules where you live.