Medicaid income limits — 2026 by household size
In the 40 states + DC that expanded Medicaid under the ACA, adults qualify at or below 138% of the Federal Poverty Level. This table shows the monthly + annual thresholds for each household size, with elevated Alaska + Hawaii values broken out.
Last reviewed: 2026-05-31
138% FPL monthly income limits
Annual = monthly × 12. Larger households (9+): add $449/month per additional person.
How to use this table
Compare your household's gross monthly income to the value for your household size + state. If at or below, you likely qualify (subject to citizenship/immigration status + state-specific category). Pregnant women, children, and disabled applicants typically have higher thresholds — see the special-categories section below.
Non-expansion states — different rules
In Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, Wyoming as of 2026, adult Medicaid is stricter. Adults without children typically don't qualify regardless of income. Parents of dependent children often qualify only up to about 50% FPL (state-specific). Pregnant women + children still qualify under expanded thresholds (185-300% FPL).
Higher thresholds for special categories
- Pregnant women: 185–260% FPL (state-specific)
- Children under 6: Most states: 200–300% FPL
- Children 6–18: Most states: 200–260% FPL
- CHIP (Children's Health Insurance Program): Up to 400% FPL in some states
- Aged 65+ + disabled: 100% FPL plus complex asset rules — not income-only
- Working disabled: Higher via Medicaid Buy-In in 47 states
Related tools
Sources
- HHS — Poverty Guidelines FY2026
- CMS — Medicaid eligibility rules
- Patient Protection and Affordable Care Act (ACA) — 138% FPL adult expansion threshold
- Each state's Medicaid agency for state-specific thresholds