Medicaid Eligibility by State (2026)
Medicaid provides essential healthcare coverage for low-income seniors, people with disabilities, and families. Eligibility rules, income limits, and available programs vary significantly by state. Our guides cover each state's Medicaid program including home and community-based services (HCBS) waivers, spend-down rules, nursing home coverage, application processes, and dual eligibility with Medicare.
Reviewed against our editorial policy, sources & methodology, and fact-checking standards.
Explore by Topic
Medicaid Eligibility
Income and asset limits by state for seniors
Medicaid Application
How to apply and what documents you need
Waiver Programs
HCBS and 1915(c) waiver programs by state
Spend-Down Rules
How to qualify when over income limits
Home Care Waivers
Medicaid coverage for in-home care services
Select Your State
Choose your state below for localized information, costs, eligibility details, and resources specific to where you live.
Frequently Asked Questions
Medicaid income limits for seniors vary by state. In most states, the limit is roughly 100-138% of the Federal Poverty Level for aged individuals. Many states also consider assets. Check your specific state guide for current thresholds.
Yes. People eligible for both are called "dual eligibles." Medicaid can help pay Medicare premiums, deductibles, and copays. Dual Special Needs Plans (D-SNPs) are designed specifically for dual-eligible beneficiaries.
Medicaid spend-down allows people whose income is above the limit to become eligible by "spending down" excess income on medical expenses. Once your medical bills reduce your countable income to the state limit, you qualify for that period.
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