How to Check Your Medicaid Eligibility

Medicaid eligibility rules vary based on the state you reside in, so the surest way to check your Medicaid eligibility is to contact the agency that administers the program in your state and find out its eligibility criteria. States establish their own Medicaid programs and individual eligibility criteria within broad federal guidelines. You can access your state's Medicaid status and how to apply at the federal government's health care site.


In all states, you can apply for Medicaid any time of the year by filling out a Marketplace application, or applying directly at your local Medicaid eligibility office. You also can call your local Medicaid office or apply by phone. You must fill out an application form and provide necessary documentation to verify general and financial information. You can apply yourself, or designate another competent individual. A face-to-face interview is required in certain states.

Eligibility Criteria:

For most Americans, eligibility for Medicaid is based on how their income relates to the Federal Poverty Level. The Affordable Care Act of 2010 created a national minimum eligibility of 133 percent of the federal poverty level for Americans under age 65. If your state has expanded Medicaid coverage to all low-income adults, you may qualify based on your income and family size.

Non-Financial Eligibility Criteria:

Certain non-financial federal and state requirements must be met regarding residency, immigration status and documentation of U.S. citizenship to qualify for Medicaid coverage.

Eligibility Determination:

If it is determined that you are eligible for Medicaid, you will receive a letter with the date of your eligibility and the amount of money you are responsible for in relation to your care. Medicaid reviews your eligibility status annually. If the agency determines that you are not eligible, you will also receive a letter notifying you why your application has been denied.