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Medicaid Income Limits by State 2022

Many residents would say that one of the biggest problems in the United States is the state of healthcare. Not only is healthcare expensive, but not everyone has access to insurance that makes it more affordable. While the Affordable Care Act did help some low-income households, other individuals and families still struggle without healthcare.

One of the nation’s programs that strives to help low-income individuals have access to healthcare is Medicaid. This federal program allows children, parents, pregnant women, and adults to receive the care they need despite having a low income.

Qualifying for Medicaid varies by state. The primary difference is the income level required to qualify. If you earn too much income, you will not qualify for this federal program and will need to seek other forms of assistance for healthcare.

For this article, we’re going to look at the income limits by state for parents of one child, as well as other adults. All numbers are based on the Federal Poverty Level, or FPL. The FPL is determined by the Department of Health and Human Services. This number is used to determine who is eligible for programs like Medicaid and other benefits, such as low-income government housing programs and food stamps. This rate is adjusted every year in January based on inflation.

As of 2019, the FPL for a family of three is $21,330 in the 48 contiguous states plus the District of Columbia. In Alaska, this number rises to $26,600. In Hawaii, the FPL for a family of three is $24,540. For an individual, the contiguous U.S. has determined the FPL to be $12,490. In Alaska, this number rises to $15,600, while Hawaii has an FPL for individuals at $14,380.

The state with the highest income limits for both a family of three and individuals is Washington, D.C. If you live in this area, a family of three can qualify for Medicaid if their income is at 221% of the FPL. For other adults, the limit is set at 251% of the FPL.

The next state with the highest income limits is Connecticut, which has limits of 155% of the FPL for parents and 138% for other adults. Indiana comes in third with limits of 139% of the FPL for parents and adults.

A large number of states have set income limits for both parents and adults at 138% of the FPL. These states include West Virginia, Washington, Vermont, Rhode Island, Pennsylvania, Oregon, Ohio, North Dakota, and New York, just to name a few.

On the other side of the coin, Texas has the lowest income limits of all of the U.S. states. Income limits for Medicaid for parents is 17% of the FPL. Alabama doesn’t come far behind with income limits of 18%. Other states with Medicaid income limits that fall below 100% of the FPL include Missouri, Idaho, Mississippi, Florida, Georgia, Kansas, Virginia, North Carolina, Oklahoma, South Dakota, Wyoming, Utah, Nebraska, South Carolina, and Tennessee.

Medicaid Income Limits by State 2022

State Parents (Family of 3) Other Adults 2022 Pop.
Alabama18.00%0.00%5,073,187
Alaska138.00%138.00%738,023
Arizona138.00%138.00%7,303,398
Arkansas138.00%138.00%3,030,646
California138.00%138.00%39,995,077
Colorado138.00%138.00%5,922,618
Connecticut155.00%138.00%3,612,314
Delaware138.00%138.00%1,008,350
Florida32.00%0.00%22,085,563
Georgia35.00%0.00%10,916,760
Hawaii138.00%138.00%1,474,265
Idaho25.00%0.00%1,893,410
Illinois138.00%138.00%12,808,884
Indiana139.00%139.00%6,845,874
Iowa138.00%138.00%3,219,171
Kansas38.00%0.00%2,954,832
Kentucky138.00%138.00%4,539,130
Louisiana138.00%138.00%4,682,633
Maine105.00%0.00%1,369,159
Maryland138.00%138.00%6,257,958
Massachusetts138.00%138.00%7,126,375
Michigan138.00%138.00%10,116,069
Minnesota138.00%138.00%5,787,008
Mississippi26.00%0.00%2,960,075
Missouri21.00%0.00%6,188,111
Montana138.00%138.00%1,103,187
Nebraska63.00%0.00%1,988,536
Nevada138.00%138.00%3,185,426
New Hampshire138.00%138.00%1,389,741
New Jersey138.00%138.00%9,388,414
New Mexico138.00%138.00%2,129,190
New York138.00%138.00%20,365,879
North Carolina42.00%0.00%10,620,168
North Dakota138.00%138.00%800,394
Ohio138.00%138.00%11,852,036
Oklahoma42.00%0.00%4,000,953
Oregon138.00%138.00%4,318,492
Pennsylvania138.00%138.00%13,062,764
Rhode Island138.00%138.00%1,106,341
South Carolina67.00%0.00%5,217,037
South Dakota49.00%0.00%901,165
Tennessee95.00%0.00%7,023,788
Texas17.00%0.00%29,945,493
Utah60.00%0.00%3,373,162
Vermont138.00%138.00%646,545
Virginia38.00%0.00%8,757,467
Washington138.00%138.00%7,901,429
West Virginia138.00%138.00%1,781,860
Wisconsin100.00%100.00%5,935,064
Wyoming54.00%0.00%579,495

Medicaid Income Limits by State 2022

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