Medicaid Eligibility

The Affordable Care Act (also known as “Obamacare”) creates a national minimum eligibility standard of 138% 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 percentage of federal poverty level (FPL) in each state, including District of Columbia — as of January 2021.

State Child CHIP Pregnant Parents Adults
Alabama 146% 317% 146% 18% 0%
Florida 138% 215% 196% 31% 0%
Georgia 138% 252% 225% 30% 0%
Kansas 138% 232% 171% 38% 0%
Mississippi 138% 214% 194% 25% 0%
Missouri 148% 305% 199% 21% 0%
North Carolina 138% 216% 201% 41% 0%
South Carolina 213% 199% 67% 0%
South Dakota 187% 209% 138% 48% 0%
Tennessee 138% 255% 200% 93% 0%
Texas 138% 206% 203% 17% 0%
Wisconsin 133% 306% 306% 100% 100%
Wyoming 138% 205% 159% 52% 0%

Among the 12 states not expanding Medicaid coverage, the median eligibility level for parents is just 44% 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 is expected to expand Medicaid in the near future, but not yet implemented.

State Child CHIP Pregnant Parents Adults
Alaska 208% 205% 138% 138%
Arizona 138% 205% 161% 138% 138%
Arkansas 147% 216% 214% 138% 138%
California 133% 266% 213% 138% 138%
Colorado 147% 265% 200% 138% 138%
Connecticut 201% 323% 263% 160% 138%
Delaware 138% 217% 217% 138% 138%
District of Columbia 324% 324% 221% 215%
Hawaii 313% 196% 138% 138%
Idaho 138% 190% 138% 138% 138%
Illinois 147% 318% 213% 138% 138%
Indiana 163% 255% 213% 138% 138%
Iowa 172% 307% 380% 138% 138%
Kentucky 133% 218% 200% 138% 138%
Louisiana 142% 255% 138% 138% 138%
Maine 162% 213% 214% 138% 138%
Maryland 322% 264% 138% 138%
Massachusetts 155% 305% 205% 138% 138%
Michigan 217% 200% 138% 138%
Minnesota 280% 283% 138% 138%
Montana 133% 266% 162% 138% 138%
Nebraska 218% 199% 138% 138%
Nevada 138% 205% 165% 138% 138%
New Hampshire 323% 201% 138% 138%
New Jersey 147% 355% 199% 138% 138%
New Mexico 245% 255% 138% 138%
New York 154% 405% 223% 138% 138%
North Dakota 133% 175% 162% 138% 138%
Ohio 211% 205% 138% 138%
Oklahoma 210% 138% 138% 138%
Oregon 138% 305% 190% 138% 138%
Pennsylvania 138% 319% 220% 138% 138%
Rhode Island 266% 195% 138% 138%
Utah 138% 205% 144% 138% 138%
Vermont 317% 213% 138% 138%
Virginia 148% 205% 148% 138% 138%
Washington 215% 317% 198% 138% 138%
West Virginia 138% 305% 190% 138% 138%

* Eligibility levels for parents are presented as a percentage of the 2021 FPL for a family of three, which is $21,960.