Medicaid, CHIP, and BHP Eligibility Levels

The following table provides eligibility levels in each state for key coverage groups that use Modified Adjusted Gross Income (MAGI), as of April 1, 2018. The data represent the principal, but not all, MAGI coverage groups in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). All income standards are expressed as a percentage of the federal poverty level (FPL). The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to a 5% FPL disregard. Other eligibility criteria also apply, such as citizenship, immigration status, and state residency.

State Medicaid, CHIP and BHP Income Eligibility Standards
(For selected MAGI Groups, based on state decisions as of April 1, 2018)
State Children Medicaid Ages 0-11 Children Medicaid Ages 1-51 Children Medicaid Ages 6-181 Children Separate CHIP2 Pregnant Women Medicaid Pregnant Women CHIP3 Adults (Medicaid) Parent/ Caretaker4 Adults (Medicaid) Expansion to Adults
Alabama 141% 141% 141% 312% 141% N/A 13% No
Alaska5 203% 203% 203% N/A 200% N/A 139%($) 133%
Arizona 147% 141% 133% 200% 156% N/A 106% 133%
Arkansas 142% 142% 142% 211% 209% N/A 17%($) 133%
California 261% 261% 261% See note6 208% N/A 109% 133%
Colorado 142% 142% 142% 260% 195% 260% 68% 133%
Connecticut 196% 196% 196% 318% 258% N/A 133% 133%
Delaware 212% 142% 133% 212% (1 up to 19) 212% N/A 87% 133%
District of Columbia 319% 319% 319% N/A 319% N/A 216% 210%7
Florida 206% 140% 133% 210% (1 up to 19) 191% N/A 29%($) No8
Georgia 205% 149% 133% 247% 220% N/A 34%($) No
Hawaii5 308% 308% 308% N/A 191% N/A 105% 133%
Idaho 142% 142% 133% 185% 133% N/A 23%($) No
Illinois 142% 142% 142% 313% 208% N/A 133% 133%
Indiana 208% 158% 158% 250% 208% N/A 19%($) 133%
Iowa 375% 167% 167% 302% (1 up to 19) 375% N/A 53%($) 133%
Kansas 166% 149% 133% 235% 166% N/A 33% No
Kentucky 195% 159% 159% 213% 195% N/A 24%($) 133%
Louisiana 212% 212% 212% 250% 133% N/A 19% 133%
Maine 191% 157% 157% 208% 209% N/A 100% No8
Maryland 317% 317% 317% N/A 259% N/A 123% 133%
Massachusetts 200% 150% 150% 300% 200% N/A 133% 133%7
Michigan 212% 212% 212% N/A 195% N/A 54% 133%
Minnesota 283%10 275% 275% N/A 278% N/A 133% 200%11
Mississippi 194% 143% 133% 209% 194% N/A 23%($) No
Missouri 196% 150% 150% 300% 196% 300% 18%9($) No9
Montana 143% 143% 143% 261% 157% N/A 24% 133%
Nebraska 213% 213% 213% N/A 194% N/A 58% No
Nevada 160% 160% 133% 200% 160% N/A 32%($) 133%
New Hampshire 318% 318% 318% N/A 196% N/A 67%($) 133%
New Jersey 194% 142% 142% 350% 194% 200% 31%($) 133%
New Mexico 300% 300% 240% N/A 250% N/A 45%($) 133%
New York 218% 149% 149% 400% 218% N/A 133% 200%11
North Carolina 210% 210% 133% 211% (6 up to 19) 196% N/A 43%($) No8
North Dakota 147% 147% 133% 170% 147% N/A 52%($) 133%
Ohio 206% 206% 206% N/A 200% N/A 90% 133%
Oklahoma 205% 205% 205% N/A 133% N/A 41%9($) No9
Oregon 185% 133% 133% 300% 185% N/A 40%($) 133%
Pennsylvania 215% 157% 133% 314% 215% N/A 33% 133%
Rhode Island 261% 261% 261% N/A 190% 253% 116% 133%
South Carolina 208% 208% 208% N/A 194% N/A 62% No
South Dakota 182% 182% 182% 204% 133% N/A 56%($) No
Tennessee 195% 142% 133% 250% 195% N/A 101%($) No
Texas 198% 144% 133% 201% 198% N/A 15%($) No
Utah 139% 139% 133% 200% 139% N/A 55%9 No9
Vermont 312% 312% 312% N/A 208% N/A 52%($) 133%
Virginia 143% 143% 143% 200% 143% 200% 48%($) No
Washington 210% 210% 210% 312% 193% N/A 40%($) 133%
West Virginia 158% 141% 133% 300% 158% N/A 19%($) 133%
Wisconsin 301% 186% 151% 301% (1 up to19) 301% N/A 95%9 No/95%9
Wyoming 154% 154% 133% 200% 154% N/A 54%($) No
  1. These eligibility standards include CHIP-funded Medicaid expansions for children under age 19. Children eligible for a CHIP-funded Medicaid expansion may be covered either under the mandatory children’s group or under the optional targeted low-income child group. Expanded Medicaid eligibility after 1997 qualifies for CHIP funding.
  2. CHIP covers birth up to age 19 unless otherwise noted in parentheses.
  3. CHIP gives states the option to cover pregnant women and children from conception to birth. This table shows coverage of pregnant women only.
  4. These data show Medicaid state plan coverage of the eligibility group for parents and other caretaker relatives. In expansion states, parents and caretaker relatives with incomes above the standard shown here may be eligible for coverage in the adult group. Some states use dollar amounts based on household size instead of percentages of the FPL as the income standard for parent and caretaker relatives. For those states, CMS converted the amount to percentages of the FPL. CMS uses the highest percentage to show the eligibility level for the group. States that use dollar amounts to make determinations are indicated by ($).
  5. The dollar values that FPLs represent in Alaska and Hawaii are higher than in the rest of the United States. For example, in 2018, 100% of the FPL for a family of four was equal to $31,380 in Alaska and $28,870 in Hawaii, compared to $25,100 in the other 48 states and the District of Columbia.
  6. The Separate CHIP in California covers certain children up to age 2 with incomes up to 317% of the FPL statewide; and it covers children up to age 19 also up to 317% of the FPL in three counties only.
  7. In addition to covering the adult group up to 133% of the FPL, the state covers ages 19 and 20 up to the following levels: DC 216%, MA 150%.
  8. The state also covers ages 19 and 20 up to the following levels: FL 29%, ME 156%, NC 44%.
  9. The state has a section 1115 demonstration, which provides Medicaid coverage to some additional low-income adults. In some cases, coverage:
    • Includes limitations on eligibility and benefits
    • Is not offered to all residents of the state
    • Includes an enrollment cap
  10. Minnesota covers children up to age 2 with incomes up to 283% of the FPL.
  11. Adults with incomes from above 133% and up to 200% of the FPL are covered through BHP.