Medicaid Eligibility by State: Interactive Map & 2025 Income Limits

Medicaid serves as a crucial healthcare safety net for millions of Americans, offering essential medical coverage to individuals and families with limited income. However, eligibility rules and income thresholds can vary significantly depending on your state of residence.

Whether you’re applying for the first time or reassessing your qualifications, understanding your state’s specific guidelines is vital. This comprehensive guide provides an interactive map, a detailed 2025 income limits chart, and answers to common questions to help you navigate Medicaid eligibility.

What is Medicaid?

Medicaid is a joint federal and state program that offers free or low-cost health coverage to eligible low-income individuals, families, seniors, and people with disabilities. Unlike Medicare, which is primarily age-based, Medicaid eligibility is determined by factors such as income, household size, disability status, and pregnancy.

Each state administers its own Medicaid program, resulting in variations in eligibility requirements, income limits, and covered services.

Medicaid Eligibility by State: Interactive Map

Medicaid eligibility isn’t uniform across the United States. Some states have expanded Medicaid under the Affordable Care Act (ACA), while others maintain more restrictive guidelines.

• Identify whether your state has expanded Medicaid
  
• View income limits for individuals and families
  
• Access state-specific enrollment websitesHouston Chronicle+9Medicaid Long Term Care+9World Population Review+9

2025 Medicaid Income Limits Chart

To qualify for Medicaid in 2025, your Modified Adjusted Gross Income (MAGI) must fall below certain thresholds based on the Federal Poverty Level (FPL). These limits are updated annually and can differ by state and household size.

Below is a sample of the 2025 income limits for select states:

Note: These figures are approximations based on 138% of the FPL for Medicaid expansion states. Non-expansion states may have different limits.

For a comprehensive state-by-state breakdown, please refer to the Medicaid Eligibility Income Chart by State.

State-by-State Medicaid Eligibility Overview

California

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$21,580
  Coverage Includes: Adults, families, children, seniors, pregnant women, and disabled individuals
• Enrollment Website: Covered California

Texas

• Expansion State: ❌ No
• Income Limit for Non-disabled Adult: Extremely limited (~$4,000 annually)
• Coverage Includes: Children, pregnant women, seniors, disabled individuals
• Enrollment Website: Your Texas Benefits

New York

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$22,590
• Coverage Includes: Adults, families, seniors, pregnant women, disabled individuals
• Enrollment Website: NY State of Health
  

Florida

• Expansion State: ❌ No
• Income Limit for Adult: ~30% FPL (extremely restrictive)
• Coverage Includes: Children, pregnant women, parents with very low income
• Enrollment Website: ACCESS Florida

Illinois

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults up to 138% FPL, children, pregnant women, seniors
• Enrollment Website: ABE Illinois
  

Georgia

• Expansion State: ❌ No
• Income Limit for Adults: ~35% FPL or lower
• Coverage Includes: Children, pregnant women, and elderly/disabled residents
• Enrollment Website: Georgia Gateway

Ohio

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, pregnant women, children, seniors
• Enrollment Website: Ohio Benefits
  

Arizona

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, children, pregnant women, and disabled residents
  Enrollment Website: Health-e-Arizona Plus

North Carolina

• Expansion State: ✔️ Newly expanded in 2024
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults without children now eligible under expansion
• Enrollment Website: ePASS NC

Pennsylvania

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Low-income adults, families, seniors, and disabled persons
• Enrollment Website: COMPASS
  

Tennessee

• Expansion State: ❌ No
• Income Limit for Adult: ~24% FPL or lower
• Coverage Includes: Pregnant women, children, seniors, disabled individuals
• Enrollment Website: TennCare

Washington

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$21,960
  
• Coverage Includes: Adults, families, children, pregnant women
• Enrollment Website: Washington Healthplanfinder

Michigan

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, families, children, pregnant women, disabled, seniors
• Enrollment Website: MI Bridges
  

Alabama

• Expansion State: ❌ No
• Income Limit for Adult: ~18% FPL (very restrictive)
• Coverage Includes: Children, pregnant women, seniors, disabled individuals
• Enrollment Website: My Medicaid Alabama
  

Nevada

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, children, pregnant women, elderly
• Enrollment Website: Access Nevada
  

Mississippi

• Expansion State: ❌ No
• Income Limit for Adults: ~27% FPL
• Coverage Includes: Pregnant women, children, elderly, disabled
• Enrollment Website: Medicaid.ms.gov

Colorado

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, families, seniors, disabled individuals
• Enrollment Website: Colorado PEAK
  

South Carolina

• Expansion State: ❌ No
• Income Limit for Adults: Very limited; mostly for pregnant women, children
• Coverage Includes: Pregnant women, children, seniors, disabled
• Enrollment Website: Healthy Connections

Minnesota

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$22,000
• Coverage Includes: Adults, families, children, seniors
• Enrollment Website: MNsure
  

Indiana

• Expansion State: ✔️ Yes (under HIP 2.0 waiver)
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, children, pregnant women, disabled
• Enrollment Website: FSSABenefits

Louisiana

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Low-income adults, children, pregnant women, elderly
• Enrollment Website: Healthy Louisiana

Wisconsin

• Expansion State: ❌ Partial
• Income Limit for Adults: Covers up to 100% FPL (not full expansion)
• Coverage Includes: Adults up to 100% FPL, children, pregnant women
• Enrollment Website: ACCESS Wisconsin
  

Oregon

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$21,580
• Coverage Includes: Adults, children, seniors, disabled
• Enrollment Website: OHP.Oregon.gov
  

Kentucky

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, children, seniors, disabled
• Enrollment Website: Kynect

New Jersey

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$22,590
• Coverage Includes: Adults, families, pregnant women, elderly
• Enrollment Website: NJ FamilyCare
  

North Dakota

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, pregnant women, elderly, disabled
• Enrollment Website: ND Medicaid
  

Arkansas

• Expansion State: ✔️ Yes (via Medicaid waiver/private option)
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, children, pregnant women, elderly
• Enrollment Website: Access Arkansas
  

Montana

• Expansion State: ✔️ Yes
• Income Limit for Individual: ~$20,783
• Coverage Includes: Adults, families, children, seniors, disabled
• Enrollment Website: Apply.mt.gov

For information on other states, please use the interactive map above or visit your local health department’s website.

Who Qualifies for Medicaid?

Eligibility for Medicaid is determined by several factors:

Income

Income is a primary determinant. In Medicaid expansion states, adults earning up to 138% of the FPL may qualify. Non-expansion states have more restrictive income limits.World Population Review

Household Size

Larger households have higher income thresholds. For example, a family of four will have a higher income limit than a single individual.

Age & Disability

Seniors and individuals with disabilities may qualify under different criteria, often with distinct income and asset limits.

Citizenship & Residency

Applicants must:

• Be U.S. citizens or qualified non-citizens
• Reside in the state where they are applying
  

How to Apply for Medicaid

Applying for Medicaid has become more accessible with online portals and assistance centers.

Step-by-Step Guide:

1. Visit your state’s Medicaid website or Healthcare.gov.
2. Create an account and provide household and income details.
3. Submit documentation: ID, proof of income, Social Security Number, and residency proof.
4. Await approval: Decisions are typically made within 7–30 days.
5. Enroll in a plan if required and select a primary care provider.
   

Medicaid Renewal & Reporting

Once enrolled, it’s essential to renew your coverage annually and report any significant life changes.

You Must Report If:

• Your income changes
• You move to another state
• Your household size changes
• You obtain employer-sponsored health coverage
  

Failure to report changes can result in loss of coverage or penalties.

Common Issues & How to Solve Them

Denied Application?

• Double-check your household size and income reporting.
• Ensure all required documents were uploaded correctly.
• Appeal the decision by contacting your state’s Medicaid office.
  

Trouble With the Application?

• Seek assistance from a local enrollment navigator.
• Call your state’s Medicaid hotline.
• Visit a community health center for in-person help.
  

Who Can Benefit the Most from Medicaid?

Medicaid is particularly beneficial for:

• Low-income adults and families
• Pregnant women and new mothers
• Children and teenagers
• Seniors and individuals with disabilities
• People experiencing temporary job loss
  

Even if you’re uncertain about your eligibility, it’s advisable to apply, as some states offer partial coverage or alternative aid programs.

Final Thoughts

Navigating Medicaid eligibility can be complex, but with the right tools and information, you can determine your qualifications and access the healthcare you need.

Utilize the interactive map and income chart provided to assess your eligibility. For personalized assistance, consider reaching out to your state’s Medicaid office or a certified Medicaid planner.

Stay informed and take proactive steps to secure your healthcare coverage.

FAQs

Q1: Can I apply for Medicaid even if I have a job?
Yes. Employment does not automatically disqualify you from Medicaid. Eligibility is primarily based on income level relative to the FPL.

Q2: What if my state hasn’t expanded Medicaid?
In non-expansion states, Medicaid eligibility is often limited to specific groups such as pregnant women, children, seniors, and individuals with disabilities. However, you may still qualify under certain conditions or through alternative programs.

Q3: Is Medicaid the same in every state?
No. Each state administers its own Medicaid program, resulting in variations in eligibility criteria, income limits, covered services, and application processes.

Q4: How often do I need to renew my Medicaid coverage?
Medicaid coverage typically requires annual renewal. However, you must report any significant life changes, such as income fluctuations or changes in household size, as they occur.

Q5: Does Medicaid cover dental and vision services?
Medicaid coverage for dental and vision services varies by state. While all states provide dental services for children under Medicaid, adult dental and vision benefits are optional and differ across states.