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Medicaid and CHIP Coverage of Lawfully Residing Children & Pregnant Women

The Children’s Health Insurance Program Reauthorization Act (CHIPRA) included a new option for States to provide Medicaid and CHIP coverage to children and pregnant women who are lawfully residing in the United States, including those within their first five years of having certain legal status. (Previously, federal law required a 5-year waiting period before many legal immigrants were permitted to enroll in Medicaid and CHIP, although many States offered health coverage to these populations with State-only funds.) This coverage may be applied to pregnant women in Medicaid and CHIP and/or to children up to age 19 for CHIP or up to age 21 for Medicaid who would otherwise be eligible for coverage through these programs.

Learn more about providing health coverage to lawfully residing children and pregnant women (PDF, 188.34 KB) .

Medicaid and CHIP Coverage of Lawfully Residing Children and Pregnant Women

The CHIPRA included a new option for states to provide Medicaid and CHIP coverage to children and pregnant women who are lawfully residing in the United States, including those within their first five years of having certain legal status. (Previously, federal law required a 5-year waiting period before many legal immigrants were permitted to enroll in Medicaid and CHIP, although many states offered health coverage to these populations with state-only funds.) This coverage may be applied to pregnant women in Medicaid and CHIP and/or to children up to age 19 for CHIP or up to age 21 for Medicaid who would otherwise be eligible for coverage through these programs.

States providing Medicaid or CHIP coverage to lawfully residing children and/or pregnant women include:

State CHIP Medicaid
American Samoa*** Children and pregnant women
Arkansas Children Children and pregnant women*
California Children Children and pregnant women
Colorado Children and pregnant women Children and pregnant women*
Connecticut Children Children and pregnant women
Commonwealth of the Northern Mariana Islands (CNMI)*** Children and pregnant women*
Washington, D.C.*** Children and pregnant women
Delaware Children Children and pregnant women
Florida Children Children*
Hawaii*** Children and pregnant women*
Illinois Children Children*
Iowa Children Children
Kentucky Children Children*
Louisiana Children Children*
Maine Children Children and pregnant women
Maryland*** Children and pregnant women
Massachusetts Children Children and pregnant women
Minnesota Children Children and pregnant women
Montana Children Children*
Nebraska Children Children and pregnant women*
New Jersey Children and pregnant women Children and pregnant women
New Mexico*** Children and pregnant women
New York Children Children and pregnant women
Nevada Children Children*
North Carolina Children Children and pregnant women*
Ohio*** Children and pregnant women
Oregon Children Children*
Pennsylvania Children Children and pregnant women
Rhode Island Children Children*
South Carolina*** Children and pregnant women
Texas Children Children*
U.S. Virgin Islands*** Children and pregnant women
Utah Children Children*
Vermont*** Children and pregnant women
Virginia Pregnant women**
Children
Children and pregnant women*
Washington Children Children and pregnant women
West Virginia Children and pregnant women Children and pregnant women*
Wisconsin Children Children and pregnant women*
Wyoming Pregnant women

Updated as of December 11, 2019.

* These states cover children in Medicaid up to age 19.

** Virginia is using an 1115 demonstration to cover pregnant women.

*** These states are CHIP Medicaid expansion programs.