Who is Eligible for Medicaid?
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be
met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources
(like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen
or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and
from group to group. There are special rules for those who live in nursing homes and for disabled children living
Your child may be eligible for coverage if he or she is a U.S. citizen or a lawfully admitted immigrant, even if
you are not (however, there is a 5-year limit that applies to lawful permanent residents). Eligibility for children
is based on the child's status, not the parent's. Also, if someone else's child lives with you, the child may be
eligible even if you are not because your income and resources will not count for the child.
In general, you should apply for Medicaid if you have limited income and resources. You must match one of the
descriptions below. (Even if you are not sure whether you qualify, if you or someone in your family needs health
care, you should apply for Medicaid and have a qualified caseworker in your state evaluate your situation.)
Pregnant Women Medicaid Eligibility
Apply for Medicaid if you think you are pregnant. You may be eligible if you are married or single. If you are
on Medicaid when your child is born, both you and your child will be covered.
Children and Teenagers Medicaid
Apply for Medicaid if you are the parent or guardian of a child who is 18 years old or younger and your family's
income is limited, or if your child is sick enough to need nursing home care, but could stay home with good quality
care at home. If you are a teenager living on your own, the state may allow you to apply for Medicaid on your own
behalf or any adult may apply for you. Many states also cover children up to age 21.
Person who is Aged, Blind, and/or Disabled Medicaid
Apply if you are aged (65 years old or older), blind, or disabled and have limited income and resources. Apply
if you are terminally ill and want to get hospice services. Apply if you are aged, blind, or disabled; live in a
nursing home; and have limited income and resources. Apply if you are aged, blind, or disabled and need nursing
home care, but can stay at home with special community care services. Apply if you are eligible for Medicare and
have limited income and resources.
Other Medicaid Eligibility
Apply if you are leaving welfare and need health coverage. Apply if you are a family with children under age 18
and have limited income and resources. (You do not need to be receiving a welfare check.) Apply if you have very
high medical bills, which you cannot pay (and you are pregnant, under age 18 or over age 65, blind, or