State Medicaid and CHIP Eligibility Guidelines


The Affordable Care Act (also known as “Obamacare”) creates a national minimum eligibility standard of 133% of the federal poverty level (FPL), but some states choose not to adopt the Medicaid expansion under the ACA.

Listed below are the Medicaid and CHIP eligibility levels as a % of federal poverty level (FPL) in each state1 — as of June 2016.2

State Infants Child Child CHIP Pregnant Parents Adults
Alabama 141% 141% 141% 312% 141% 13% 0%
Florida 206% 140% 133% 210% (1 – 18) 191% 21% 0%
Georgia 205% 149% 133% 247% 220% 34% 0%
Idaho 142% 142% 133% 185% 133% 24% 0%
Kansas 166% 149% 133% 238% 166% 33% 0%
Maine 191% 157% 157% 208% 209% 100% 0%
Mississippi 194% 143% 133% 209% 194% 23% 0%
Missouri 196% 150% 150% 300% 196% 18% 0%
Nebraska 213% 213% 213% N/A 194% 58% 0%
North Carolina 210% 210% 133% 211% (6 – 18) 196% 44% 0%
Oklahoma 205% 205% 205% N/A 133% 41% 0%
South Carolina 208% 208% 208% N/A 194% 62% 0%
South Dakota 182% 182% 182% 204% 133% 57% 0%
Tennessee 195% 142% 133% 250% 195% 103% 0%
Texas 198% 144% 133% 201% 198% 15% 0%
Utah 139% 139% 133% 200% 139% 44% 0%
Virginia 143% 143% 143% 200% 143% 49% 0%
Wisconsin 301% 186% 151% 301% (1 – 18) 301% 95% 95%
Wyoming 154% 154% 133% 200% 154% 55% 0%

Among the 19 states not expanding Medicaid coverage, the median eligibility level for parents is just 47% FPL, with only two (2) states — Maine and Tennessee covering parents with incomes at or above poverty. Only Wisconsin is providing full Medicaid coverage to adults without dependent children.

State Infants Child Child CHIP Pregnant Parents Adults
Alaska 203% 203% 203% N/A 200% 142% 133%
Arizona 147% 141% 133% 200%3 156% 106% 133%
Arkansas 142% 142% 142% 211% 209% 17% 133%
California 261% 261% 261% 317% 208% 109% 133%
Colorado 142% 142% 142% 260% 195% 68% 133%
Connecticut 196% 196% 196% 318% 258% 150% 133%
Delaware 212% 142% 133% 212% (1 – 18) 212% 87% 133%
District of Columbia 319% 319% 319% N/A 319% 216% 210%
Hawaii 308% 308% 308% N/A 191% 105% 133%
Illinois 142% 142% 142% 313% 208% 133% 133%
Indiana 208% 158% 158% 250% 208% 19% 133%
Iowa 375% 167% 167% 302% (1 – 18) 375% 54% 133%
Kentucky 195% 159% 159% 213% 195% 23% 133%
Louisiana 212% 212% 212% 250% 133% 19% 133%
Maryland 317% 317% 317% N/A 259% 123% 133%
Massachusetts 200% 150% 150% 300% 200% 133% 133%
Michigan 212% 212% 212% N/A 195% 54% 133%
Minnesota 283%4 275% 275% N/A 278% 133% 200%5
Montana 143% 143% 143% 261% 157% 24% 133%
Nevada 160% 160% 133% 200% 160% 32% 133%
New Hampshire 318% 318% 318% N/A 196% 68% 133%
New Jersey 194% 142% 142% 350% 194% 32% 133%
New Mexico 300% 300% 240% N/A 250% 46% 133%
New York 218% 149% 149% 400% 218% 133% 200%5
North Dakota 147% 147% 133% 170% 147% 52% 133%
Ohio 206% 206% 206% N/A 200% 90% 133%
Oregon 185% 133% 133% 300% 185% 40% 133%
Pennsylvania 215% 157% 133% 314% 215% 33% 133%
Rhode Island 261% 261% 261% N/A 190% 116% 133%
Vermont 312% 312% 312% N/A 208% 53% 133%
Washington 210% 210% 210% 312% 193% 40% 133%
West Virginia 158% 141% 133% 300% 158% 19% 133%

  1. Eligibility levels reflect MAGI converted income standards that include a five percentage point of the federal poverty level disregard and are subject to change.
  2. Medicaid.gov, Medicaid and CHIP Eligibility Levels for for Adults, Children, and Pregnant Women
  3. The separate CHIP program in Arizona has been closed to new applicants and will begin new enrollment on September 1, 2016.
  4. Minnesota covers children up to age 2 with income up to 283% of the FPL.
  5. Adults with incomes between 133 and 200% of the FPL are covered through the Basic Health Program.