Medicaid Eligibility

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 a percentage of federal poverty level (FPL) in each state, including District of Columbia — as of January 2021

State Child CHIP Pregnant Parents Adults
Alabama 141% 312% 141% 13% 0%
Florida 133% 210% 191% 26% 0%
Georgia 133% 247% 220% 30% 0%
Kansas 133% 238% 166% 33% 0%
Mississippi 133% 209% 194% 20% 0%
Missouri 150% 300% 196% 16% 0%
North Carolina 133% 211% 196% 36% 0%
Oklahoma 205% 133% 36% 0%
South Carolina 208% 194% 62% 0%
South Dakota 182% 204% 133% 43% 0%
Tennessee 133% 250% 195% 88% 0%
Texas 133% 201% 198% 12% 0%
Wisconsin 151% 301% 301% 95% 95%
Wyoming 133% 200% 154% 47% 0%

Among the 14 states not expanding Medicaid coverage, the median eligibility level for parents is just 40% FPL, with only two (2) states — Tennessee and Wisconsin, covering parents with incomes at or near poverty. Wisconsin is the only non-expansion state that provides Medicaid coverage to some adults without dependent children.

Missouri and Oklahoma are expected to expand Medicaid in the near future, but not yet implemented.

State Child CHIP Pregnant Parents Adults
Alaska 203% 200% 133% 133%
Arizona 133% 200% 156% 133% 133%
Arkansas 142% 211% 209% 133% 133%
California 261% 317% 208% 133% 133%
Colorado 142% 260% 195% 133% 133%
Connecticut 196% 318% 258% 155% 133%
Delaware 133% 212% 212% 133% 133%
District of Columbia 319% 319% 216% 210%
Hawaii 308% 191% 133% 133%
Idaho 133% 185% 133% 133% 133%
Illinois 142% 313% 208% 133% 133%
Indiana 158% 250% 208% 133% 133%
Iowa 167% 302% 375% 133% 133%
Kentucky 159% 213% 195% 133% 133%
Louisiana 212% 250% 133% 133% 133%
Maine 157% 208% 209% 133% 133%
Maryland 317% 259% 133% 133%
Massachusetts 150% 300% 200% 133% 133%
Michigan 212% 195% 133% 133%
Minnesota 275% 278% 133% 200%
Montana 143% 261% 157% 133% 133%
Nebraska 213% 194% 133% 133%
Nevada 133% 200% 160% 133% 133%
New Hampshire 318% 196% 133% 133%
New Jersey 142% 350% 200% 133% 133%
New Mexico 240% 250% 133% 133%
New York 149% 400% 218% 133% 200%
North Dakota 133% 170% 147% 133% 133%
Ohio 206% 200% 133% 133%
Oregon 133% 300% 185% 133% 133%
Pennsylvania 133% 314% 215% 133% 133%
Rhode Island 261% 253% 133% 133%
Utah 133% 200% 139% 133% 133%
Vermont 312% 208% 133% 133%
Virginia 143% 200% 143% 133% 133%
Washington 210% 312% 193% 133% 133%
West Virginia 133% 300% 158% 133% 133%