District of Columbia Medicaid

District’s Medicaid offers health care coverage for eligible District residents, including children, pregnant women, adults, seniors, and people with disabilities.

Medicaid offers comprehensive health coverage at little or no cost, including doctor visits, hospitalization, prescription drugs, mental health services, and transportation for medical appointments.

FAQ

What is the income limit for Medicaid in District?

Beginning in January 2026, DC Medicaid lowered its income limit for adults to 138% of the federal poverty level, down from the previous limit of 215%.¹ Most adults no longer eligible for Medicaid will be automatically enrolled into a Healthy DC Plan.

Under the Affordable Care Act, Medicaid will now cover children ages 19—20 and non-elderly adults with income up to 138% of the federal poverty level or about $3,142 per month for a family of three.

Children ages 0—18 and pregnant women are covered through Healthy Families (CHIP) with family income up to 324% of the federal poverty level, including 12 months of postpartum care.

Children who have long-term disabilities or complex medical needs and live at home with families with household incomes over 324% of the FPL may also be eligible for DC Medicaid under TEFRA/Katie Beckett  .

How do I apply for Medicaid in DC?

District of Columbia is operating its own Health Insurance Marketplace, known as DC Health Link , through which D.C. residents can enroll for Medicaid, SCHIP or other private health insurance.

If you need help applying for Medicaid or renewing your Medicaid coverage, or have questions about these benefits, call

DC Department of Health Care Finance (DHCF)
Public Benefits Call Center
(202) 727-5355