2025 Medicaid Eligibility Income Chart: Guide by State & Family Size

Last Updated: September 2025 | Reviewed by Benefits Experts

Medicaid income limits in 2025 are based on the Federal Poverty Level (FPL). For 2025, the FPL for a single adult in the 48 contiguous states and D.C. is $15,650/year, and for a family of four it’s $32,150/year.

Many states use 138% FPL for adults in Medicaid expansion programs, meaning a single person can qualify with income up to $21,597/year.

Use the chart below or our Medicaid Income Calculator to see if you’re eligible.

What Is the Medicaid Income Limit for 2025?

The 2025 Medicaid income limits vary by state, but here are the key thresholds most people need to know:

2025 Medicaid Eligibility Income Chart in infographic style

2025 Federal Poverty Level (FPL) Income Chart – 48 States & D.C.

Family Size100% FPL (Annual)138% FPL (Most Common Adult Limit)Monthly Limit (138%)
1 person$15,650$21,597$1,800
2 people$21,150$29,187$2,432
3 people$26,650$36,777$3,065
4 people$32,150$44,367$3,697
5 people$37,650$51,957$4,330
6 people$43,150$59,547$4,962
7 people$48,650$67,137$5,595
8 people$54,150$74,727$6,227

Add $5,500 per additional person for 100% FPL, or $7,590 for 138% FPL

Alaska & Hawaii (Higher Poverty Guidelines)

Alaska 2025 Medicaid Income Limits:

  • 1 person: $19,550 (100% FPL) | $26,979 (138% FPL)
  • 2 people: $26,430 (100% FPL) | $36,473 (138% FPL)
  • Family of 4: $40,190 (100% FPL) | $55,462 (138% FPL)

Hawaii 2025 Medicaid Income Limits:

  • 1 person: $17,990 (100% FPL) | $24,827 (138% FPL)
  • 2 people: $24,320 (100% FPL) | $33,562 (138% FPL)
  • Family of 4: $36,980 (100% FPL) | $51,032 (138% FPL)

Medicaid Income Limits by State (Jump List)

Pick your state to see the 2025 Medicaid income chart, category details (adults, children/CHIP, pregnancy), application links, and contact numbers:

U.S. States Medicaid Income Limits 2025
ABCDEFG HIJKLMN OPQRSTU VWXYZ
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Medicaid & CHIP income eligibility limits by state — 2025. All dollar conversions are for a 1-person household (use household size scaling to get your household’s threshold). Source: KFF (2025 Medicaid/CHIP eligibility collection) and HHS 2025 Poverty Guidelines. See footer for full sources.
StateExpansion StatusChildren
(%FPL / Annual / Monthly)		Pregnant Women
(%FPL / Annual / Monthly)		Parents/Caretakers
(%FPL / Annual / Monthly)		Other Adults
(%FPL / Annual / Monthly)
AlabamaNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.7518% — $2,817 / $234.750% — $0 / $0
AlaskaExpanded200% — $39,100 / $3,258.33230% — $44,965 / $3,747.08138% — $27,009 / $2,250.75138% — $26,979 / $2,248.25
ArizonaExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
ArkansasExpanded205% — $32,082.50 / $2,673.54138% — $21,597 / $1,799.7517% — $2,660.50 / $221.71138% — $21,597 / $1,799.75
CaliforniaExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
ColoradoExpanded205% — $32,082.50 / $2,673.54213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
ConnecticutExpanded303% — $47,419.50 / $3,951.63213% — $33,350 / $2,779.17160% — $25,040 / $2,086.67138% — $21,597 / $1,799.75
DelawareExpanded205% — $32,082.50 / $2,673.54213% — $33,350 / $2,779.17133% — $20,834.50 / $1,736.21138% — $21,597 / $1,799.75
District of ColumbiaSpecial (higher cap)300% — $46,950 / $3,912.50215% — $33,647.50 / $2,803.96200% — $31,300 / $2,608.33215% — $33,047.50 / $2,753.96
FloridaNot expanded208% — $32,572 / $2,714.33138% — $21,597 / $1,799.7544% — $6,886 / $573.830% — $0 / $0
GeorgiaNot expanded (waiver programs)210% — $32,865 / $2,738.75138% — $21,597 / $1,799.7530% — $4,695 / $391.250% — $0 / $0
HawaiiExpanded250% — $44,975 / $3,747.92213% — $38,347 / $3,195.58138% — $24,841 / $2,070.08138% — $24,841 / $2,070.08
IdahoExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
IllinoisExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17133% — $20,834.50 / $1,736.21138% — $21,597 / $1,799.75
IndianaExpanded200% — $31,300 / $2,608.33213% — $33,350 / $2,779.17100% — $15,650 / $1,304.17138% — $21,597 / $1,799.75
IowaExpanded300% — $46,950 / $3,912.50213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
KansasNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.7533% — $5,164.50 / $430.380% — $0 / $0
KentuckyExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
LouisianaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.7595% — $14,867.50 / $1,238.96138% — $21,597 / $1,799.75
MaineExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17111% — $17,361.50 / $1,446.79138% — $21,597 / $1,799.75
MarylandExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
MassachusettsExpanded300% — $46,950 / $3,912.50213% — $33,350 / $2,779.17133% — $20,834.50 / $1,736.21138% — $21,597 / $1,799.75
MichiganExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
MinnesotaExpanded300% — $46,950 / $3,912.50213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
MississippiNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.750% — $0 / $00% — $0 / $0
MissouriExpanded205% — $32,082.50 / $2,673.54213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
MontanaExpanded250% — $39,125 / $3,260.42213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
NebraskaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
NevadaExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
New HampshireExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
New JerseyExpanded350% — $54,775 / $4,564.58213% — $33,350 / $2,779.17200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75
New MexicoExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
New YorkExpanded322% — $50,473 / $4,205.98213% — $33,350 / $2,779.17200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75
North CarolinaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.7575% — $11,737.50 / $978.13138% — $21,597 / $1,799.75
North DakotaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
OhioExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
OklahomaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
OregonExpanded266% — $41,629 / $3,468.99215% — $33,647.50 / $2,803.96138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
PennsylvaniaExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75
Rhode IslandExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75
South CarolinaNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.750% — $0 / $00% — $0 / $0
South DakotaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
TennesseeNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.750% — $0 / $00% — $0 / $0
TexasNot expanded209% — $32,768.50 / $2,730.71138% — $21,597 / $1,799.7517% — $2,660.50 / $221.710% — $0 / $0
UtahExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75100% — $15,650 / $1,304.17138% — $21,597 / $1,799.75
VermontExpanded300% — $46,950 / $3,912.50213% — $33,350 / $2,779.17200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75
VirginiaExpanded266% — $41,629 / $3,468.99213% — $33,350 / $2,779.17138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
WashingtonExpanded266% — $41,629 / $3,468.99215% — $33,647.50 / $2,803.96138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
West VirginiaExpanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75138% — $21,597 / $1,799.75
WisconsinPartial (BadgerCare to 100% FPL)200% — $31,300 / $2,608.33200% — $31,300 / $2,608.33100% — $15,650 / $1,304.17100% — $15,650 / $1,304.17
WyomingNot expanded200% — $31,300 / $2,608.33138% — $21,597 / $1,799.750% — $0 / $00% — $0 / $0
Notes: Dollar conversions are for 1-person households using 2025 HHS poverty guidelines (Lower 48/DC $15,650; Alaska $19,550; Hawaii $17,990). %FPL entries reflect state policy limits (KFF state indicator data 2025). “Other Adults” column reflects ACA adult expansion group (138% FPL in expansion states). States listed as “Not expanded” show zero as there is no income-only pathway for childless adults. Some states have complicated waivers (e.g., GA Pathways) or higher pregnancy/children thresholds — review the KFF state indicator pages for state-level nuances.
Sources:
  • Kaiser Family Foundation — Trends in Medicaid Income Eligibility Limits (Children, Pregnant Women, Parents, Other Adults) — 2025 indicators. :contentReference[oaicite:0]{index=0}
  • HHS / ASPE — 2025 Poverty Guidelines (used to convert %FPL to dollars).

Non-Expansion States (Limited Adult Coverage)

Important: These states have very low or no income limits for adults without children:

  • Florida: Adults 44% FPL ($6,886) – Children 208% FPL
  • Georgia: Adults 30% FPL ($4,695) – Children 210% FPL
  • Kansas: Adults 33% FPL ($5,165) – Children 200% FPL
  • Mississippi: Adults 0% FPL ($0) – Children 200% FPL
  • South Carolina: Adults 0% FPL ($0) – Children 200% FPL
  • Tennessee: Adults 0% FPL ($0) – Children 200% FPL
  • Texas: Adults 17% FPL ($2,661) – Children 209% FPL
  • Wyoming: Adults 0% FPL ($0) – Children 200% FPL

State-Specific Income Limits 2025

Missouri Medicaid Income Limits 2025

Missouri expanded Medicaid in 2021. Income limits for 2025:

  • Adults: 138% FPL ($21,597 individual, $44,367 family of 4)
  • Children: 205% FPL ($32,083 individual, $65,708 family of 4)
  • Pregnant women: 213% FPL ($33,350 individual)

South Carolina Medicaid Income Limits 2025

South Carolina has not expanded Medicaid. Income limits for 2025:

  • Adults without children: $0 (no coverage)
  • Parents: Must have income at or below 0% FPL
  • Children: 200% FPL ($31,300 individual, $64,300 family of 4)
  • Pregnant women: 138% FPL ($21,597 individual)

North Carolina Medicaid Income Limits 2025

North Carolina expanded Medicaid in 2023. Income limits for 2025:

  • Adults: 138% FPL ($21,597 individual, $44,367 family of 4)
  • Children: 200% FPL ($31,300 individual, $64,300 family of 4)
  • Pregnant women: 138% FPL ($21,597 individual)

Louisiana Medicaid Income Limits 2025

Louisiana expanded Medicaid in 2016. Income limits for 2025:

  • Adults: 138% FPL ($21,597 individual, $44,367 family of 4)
  • Children: 200% FPL ($31,300 individual, $64,300 family of 4)
  • Pregnant women: 138% FPL ($21,597 individual)

Iowa Medicaid Income Guidelines 2025

Iowa expanded Medicaid through a waiver program. Income guidelines for 2025:

  • Adults: 138% FPL ($21,597 individual, $44,367 family of 4)
  • Children: 300% FPL ($46,950 individual, $96,450 family of 4)
  • Pregnant women: 213% FPL ($33,350 individual)

Medicaid Income Guidelines 2025: How Much Can You Make?

The answer to “How much can you make on Medicaid?” depends on three factors:

  1. Your state’s expansion status
  2. Your family size
  3. Which category you fall into (adult, child, pregnant woman)

Income Threshold for Medicaid by Category

Adults (19-64):

  • Expansion states: Up to 138% FPL
  • Non-expansion states: Often 0% FPL (adults without children may not qualify)

Children & CHIP:

  • Most states: 200-400% FPL
  • Higher limits than adults in all states

Pregnant Women:

  • Most states: 138-213% FPL
  • Special protections and higher limits

What is the Federal Poverty Level (FPL)?

The Federal Poverty Level is a baseline income measure that the government updates each year. States use it to set eligibility for programs like Medicaid and CHIP (Children’s Health Insurance Program).

For most adults and kids, Medicaid uses MAGI (Modified Adjusted Gross Income) rules to decide eligibility.

  • In states that adopted Medicaid expansion, most adults under 65 qualify up to 138% FPL.
  • Some states have medically needy “spend-down” options if your income is a bit too high, but your medical bills are large. (Check your state page.)

How Medicaid Calculates Income (MAGI, Household Size, What Counts)

For most adults, children, and pregnant people, states use MAGI (Modified Adjusted Gross Income). In plain English:

Counted income (typical): wages/salary, self-employment, unemployment, most Social Security benefits, taxable interest.
Not usually counted: SNAP benefits, child support received.
Household size: generally the tax household—you, your spouse if filing jointly, and your tax dependents.

(There are category-specific rules and some exceptions—see your state page.)

What counts as income for Medicaid eligibility?

Income counted for Medicaid (MAGI rules):

✅ Counted: Wages, salary, tips, self-employment income, unemployment benefits, Social Security benefits, retirement income, interest/dividends, rental income

❌ Not counted: SNAP benefits, WIC, child support received, SSI benefits, veterans’ disability compensation, most need-based assistance

How to Apply for Medicaid in 2025

Online Applications

  • Healthcare.gov: Available in all states
  • State Medicaid websites: Often faster processing
  • In-person: Local Medicaid offices

Required Documents

  • Social Security cards
  • Income verification (pay stubs, tax returns)
  • Citizenship/immigration documents
  • Bank statements (for some programs)

Application Timeline

  • Emergency Medicaid: Same day
  • Regular applications: 45-90 days
  • Expedited processing: 7-30 days (pregnancy, disability)

FAQs for Medicaid 2025

What income qualifies you for Medicaid family of 4?

For a family of 4 in 2025, Medicaid income limits are:
Expansion states: $44,367 annually ($3,697 monthly) for adults
Non-expansion states: May be as low as $0 for adults without disabilities
Children (all states): At least $64,300 annually, often much higher
Pregnancy: Usually $44,367 annually in expansion states

2) Do Alaska and Hawaii have different Medicaid income limits?

Yes. Their FPLs are higher. For 2025, Alaska 100% FPL (1 person) is $19,550; Hawaii 100% FPL (1 person) is $17,990. State pages show the expanded percentages (like 138% FPL) for eligibility.

How much money can you make a year to apply for Medicaid?

Annual income limits for Medicaid in 2025:
Single adult (expansion states): $21,597
Single adult (non-expansion states): Often $0-$6,886
Family of 2: $29,187 (expansion states)
Family of 3: $36,777 (expansion states)
Family of 4: $44,367 (expansion states)

4) What if my income is slightly above the limit?

Look for medically needy / spend-down programs or CHIP for kids. Many states also have special pathways for pregnancy or disability. Your state page explains options.

5) When did the 2025 poverty guidelines take effect?

The 2025 HHS Poverty Guidelines took effect January 15, 2025 (program-specific timing can vary).

6) Which states expanded Medicaid?

Most states plus D.C. have expanded Medicaid to 138% FPL for adults. A handful have not. See our state pages or the KFF expansion tracker for the current status.

7) Do assets (savings, car, home) count?

For the MAGI groups (most adults/children/pregnancy), assets aren’t considered—it’s income-based. Some programs (e.g., long-term care, SSI-related Medicaid) do have asset tests. Check your state page.

What is the annual income limit for Medicaid 2025?

The annual income limit for Medicaid 2025 depends on your state:
Most expansion states: 138% FPL ($21,597 for individuals)
Non-expansion states: Varies widely, often much lower
Children: 200-400% FPL in most states
Pregnant women: 138-213% FPL in most states

What is the 2025 Medicaid income limit for a single adult?

In states that expanded Medicaid, adults can earn up to about $21,597/year (138% FPL). In non-expansion states, eligibility is often lower.

How do I apply for Medicaid?

Apply online through your state’s Medicaid portal or use Healthcare.gov if your state uses the federal platform.

Key Takeaways

  • Medicaid eligibility depends on where you live and your household income.
  • Most expansion states cover adults up to 138% FPL.
  • Each state has its own income chart and application process.
  • Use the links above to check your state-specific income chart for 2025.

Data sources: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE) 2025 Poverty Guidelines; Kaiser Family Foundation State Health Facts; CMS.gov official program information.

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