Skip to main content
Healthcare
State-Specific

Medicaid

Medicaid provides free or low-cost health coverage to eligible low-income adults, children, pregnant women, elderly, and people with disabilities.

Centers for Medicare & Medicaid Services (CMS)
Verified: 2025-04-10
Forms: CMS-10440, State-specific Medicaid application
Benefit Amount: Full health coverage including doctor visits, hospital stays, prescriptions, preventive care. Costs vary by state — many enrollees pay $0.

About This Program

Medicaid is a joint federal and state program that provides health coverage to over 80 million Americans. Each state administers its own Medicaid program within federal guidelines, meaning eligibility and benefits vary by state. The Affordable Care Act expanded Medicaid eligibility in participating states to cover adults with income up to 138% of the federal poverty level.

Eligibility Requirements

The following criteria must be met to qualify for this program.

1
Income at or below 138% of Federal Poverty Level (in expansion states)Income

For a single adult in 2024, this is approximately $20,783/year. Non-expansion states have more restrictive criteria.

2
State residencyResidency

Must be a resident of the state where you are applying.

3
U.S. citizen or qualified immigrantResidency

Qualified immigrants include lawful permanent residents, refugees, and asylees.

Document Checklist

0/5 gathered

Gather these documents before starting your application.

Required

Optional / If Applicable

Application Walkthrough

Follow these steps to complete your application. Pay attention to friction-point tips.

1

Check your state's eligibility

10 minutes

Visit healthcare.gov or your state Medicaid office website to check if your income qualifies.

Friction Point

40 states + DC have expanded Medicaid. If your state hasn't expanded, you may fall in the 'coverage gap' — check if you qualify for marketplace subsidies instead.

2

Apply through HealthCare.gov or your state

30 minutes

Apply online at healthcare.gov, through your state's Medicaid portal, by phone, or in person.

Friction Point

If you apply through healthcare.gov, the system will automatically check if you qualify for Medicaid before showing marketplace plans. This is the fastest path in most states.

3

Provide requested documentation

15 minutes

Your state may request additional documents to verify your eligibility.

Friction Point

States can verify income electronically in many cases. If asked for documents, respond within 10 days — delays can result in denial that requires a full new application.

4

Receive your determination

Waiting period

States must process applications within 45 days (90 days for disability-based applications).

Frequently Asked Questions

Cookies on this site

We use cookies and similar tools for analytics. They load only if you click Accept. Privacy policy