DC Medicaid · Updated August 22, 2026
Who Qualifies for Medicaid in District of Columbia (2026)
Income LimitsEligibilityAsset LimitsHow to ApplyRenewalMedicare Savings ProgramsSeniors & Long-Term Care
To qualify for DC Medicaid in 2026 you must be a District of Columbia resident, a U.S. citizen or qualifying immigrant, and fit into a covered group with income under that group's limit. Because District of Columbia expanded Medicaid, most adults under 65 qualify on income alone.
Who is covered
Adults 19–64
138% of FPL- Single
- $1,835/mo
- Family of 3
- $3,142/mo
ACA expansion adults; no asset test
Parents & caretakers
138% of FPL- Single
- $1,835/mo
- Family of 3
- $3,142/mo
Parents covered under expansion group
Children (Medicaid/CHIP)
200% of FPL- Single
- $2,660/mo
- Family of 3
- $4,553/mo
Upper CHIP/Medicaid limit varies by age band; confirm
Pregnant women
200% of FPL- Single
- $2,660/mo
- Family of 3
- $4,553/mo
Confirm state limit
Seniors, blind & disabled
100% of FPL- Single
- $1,330/mo
- Family of 3
- $2,277/mo
SSI-related; most states use SSI limit (~74% FPL) or 100% FPL. CA, AZ and a few others have no asset test
Requirements checklist
- Residency. You live in District of Columbia and intend to stay. No minimum length of residence.
- Citizenship or immigration status. U.S. citizens, lawful permanent residents (usually after 5 years), refugees, asylees and certain other categories. Emergency Medicaid is available regardless of status.
- Income. Under the limit for your group; see District of Columbia income limits.
- Assets (seniors and disabled only). Under $2,000 for an individual; see asset limits.
- Social Security number for each applicant (not required for non-applicant household members).
Groups with special rules
- Former foster youth are covered to age 26 regardless of income.
- Women diagnosed with breast or cervical cancer through a screening program.
- People receiving SSI are automatically eligible in most states.
- Medically needy. If offered, lets people with high medical bills qualify after a spend-down.
Frequently asked questions
Can I get Medicaid in District of Columbia if I work?
Yes. Employment does not disqualify you; only income does. Many workers, especially part-time and hourly, fall under the $1,835/month single-adult limit.
Do I qualify for District of Columbia Medicaid if I have no income?
Yes, adults 19–64 with zero income qualify under the expansion group.
Can non-citizens get District of Columbia Medicaid?
Lawful permanent residents generally qualify after five years; refugees and asylees qualify immediately. Undocumented immigrants qualify only for emergency services, though some states cover children regardless of status.
How do I check if I qualify?
Use the eligibility calculator on this site for a quick estimate, then apply through the official state link; the agency makes the final determination.
Sources
- HHS Poverty Guidelines 2026 (ASPE)
- DC Department of Health Care Finance
- Medicaid.gov eligibility levels by state
Limits are calculated from the federal poverty guidelines using the percentage District of Columbia applies to each group, and rounded to the nearest dollar. Your state agency makes the final determination.