Medicare Ratings Guide

Author: Dr. Patricia Chen

  • Medicaid Eligibility in North Dakota 2026: Income Limits, Requirements & How to Apply

    Medicaid in North Dakota: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in North Dakota

    North Dakota has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in North Dakota?

    Medicaid in North Dakota covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in North Dakota

    Seniors in North Dakota may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in North Dakota is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in North Dakota

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in North Dakota. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in North Dakota

    You can apply for Medicaid in North Dakota through the following channels:

    • Online: Through North Dakota’s state Medicaid portal or HealthCare.gov
    • Phone: Call North Dakota’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in North Dakota

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In North Dakota, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 28,800 dual-eligible individuals in North Dakota.

    Medicaid Asset Limits in North Dakota

    In addition to income limits, Medicaid for long-term care in North Dakota has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in North Carolina 2026: Income Limits, Requirements & How to Apply

    Medicaid in North Carolina: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in North Carolina

    North Carolina has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in North Carolina?

    Medicaid in North Carolina covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in North Carolina

    Seniors in North Carolina may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in North Carolina is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in North Carolina

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in North Carolina. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in North Carolina

    You can apply for Medicaid in North Carolina through the following channels:

    • Online: Through North Carolina’s state Medicaid portal or HealthCare.gov
    • Phone: Call North Carolina’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in North Carolina

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In North Carolina, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 392,400 dual-eligible individuals in North Carolina.

    Medicaid Asset Limits in North Carolina

    In addition to income limits, Medicaid for long-term care in North Carolina has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in New York 2026: Income Limits, Requirements & How to Apply

    Medicaid in New York: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $1,118/month $1,677/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in New York

    New York has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in New York?

    Medicaid in New York covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in New York

    Seniors in New York may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in New York is $1,118/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in New York

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in New York. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $1,118/month.

    How to Apply for Medicaid in New York

    You can apply for Medicaid in New York through the following channels:

    • Online: Through New York’s state Medicaid portal or HealthCare.gov
    • Phone: Call New York’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in New York

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In New York, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 756,000 dual-eligible individuals in New York.

    Medicaid Asset Limits in New York

    In addition to income limits, Medicaid for long-term care in New York has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in New Mexico 2026: Income Limits, Requirements & How to Apply

    Medicaid in New Mexico: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in New Mexico

    New Mexico has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in New Mexico?

    Medicaid in New Mexico covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in New Mexico

    Seniors in New Mexico may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in New Mexico is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in New Mexico

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in New Mexico. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in New Mexico

    You can apply for Medicaid in New Mexico through the following channels:

    • Online: Through New Mexico’s state Medicaid portal or HealthCare.gov
    • Phone: Call New Mexico’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in New Mexico

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In New Mexico, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 79,200 dual-eligible individuals in New Mexico.

    Medicaid Asset Limits in New Mexico

    In addition to income limits, Medicaid for long-term care in New Mexico has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in New Jersey 2026: Income Limits, Requirements & How to Apply

    Medicaid in New Jersey: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in New Jersey

    New Jersey has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in New Jersey?

    Medicaid in New Jersey covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in New Jersey

    Seniors in New Jersey may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in New Jersey is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in New Jersey

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in New Jersey. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in New Jersey

    You can apply for Medicaid in New Jersey through the following channels:

    • Online: Through New Jersey’s state Medicaid portal or HealthCare.gov
    • Phone: Call New Jersey’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in New Jersey

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In New Jersey, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 320,400 dual-eligible individuals in New Jersey.

    Medicaid Asset Limits in New Jersey

    In addition to income limits, Medicaid for long-term care in New Jersey has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in New Hampshire 2026: Income Limits, Requirements & How to Apply

    Medicaid in New Hampshire: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $1,118/month $1,677/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in New Hampshire

    New Hampshire has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in New Hampshire?

    Medicaid in New Hampshire covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in New Hampshire

    Seniors in New Hampshire may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in New Hampshire is $1,118/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in New Hampshire

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in New Hampshire. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $1,118/month.

    How to Apply for Medicaid in New Hampshire

    You can apply for Medicaid in New Hampshire through the following channels:

    • Online: Through New Hampshire’s state Medicaid portal or HealthCare.gov
    • Phone: Call New Hampshire’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in New Hampshire

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In New Hampshire, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 55,800 dual-eligible individuals in New Hampshire.

    Medicaid Asset Limits in New Hampshire

    In addition to income limits, Medicaid for long-term care in New Hampshire has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in Nevada 2026: Income Limits, Requirements & How to Apply

    Medicaid in Nevada: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Nevada

    Nevada has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in Nevada?

    Medicaid in Nevada covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in Nevada

    Seniors in Nevada may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in Nevada is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Nevada

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Nevada. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in Nevada

    You can apply for Medicaid in Nevada through the following channels:

    • Online: Through Nevada’s state Medicaid portal or HealthCare.gov
    • Phone: Call Nevada’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in Nevada

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Nevada, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 111,600 dual-eligible individuals in Nevada.

    Medicaid Asset Limits in Nevada

    In addition to income limits, Medicaid for long-term care in Nevada has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in Nebraska 2026: Income Limits, Requirements & How to Apply

    Medicaid in Nebraska: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Nebraska

    Nebraska has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in Nebraska?

    Medicaid in Nebraska covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in Nebraska

    Seniors in Nebraska may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in Nebraska is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Nebraska

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Nebraska. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in Nebraska

    You can apply for Medicaid in Nebraska through the following channels:

    • Online: Through Nebraska’s state Medicaid portal or HealthCare.gov
    • Phone: Call Nebraska’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in Nebraska

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Nebraska, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 68,400 dual-eligible individuals in Nebraska.

    Medicaid Asset Limits in Nebraska

    In addition to income limits, Medicaid for long-term care in Nebraska has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in Montana 2026: Income Limits, Requirements & How to Apply

    Medicaid in Montana: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Montana

    Montana has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in Montana?

    Medicaid in Montana covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in Montana

    Seniors in Montana may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in Montana is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Montana

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Montana. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in Montana

    You can apply for Medicaid in Montana through the following channels:

    • Online: Through Montana’s state Medicaid portal or HealthCare.gov
    • Phone: Call Montana’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in Montana

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Montana, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 43,200 dual-eligible individuals in Montana.

    Medicaid Asset Limits in Montana

    In addition to income limits, Medicaid for long-term care in Montana has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.

  • Medicaid Eligibility in Missouri 2026: Income Limits, Requirements & How to Apply

    Medicaid in Missouri: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $2,982/month $5,964/month
    HCBS Waiver (home-based care) $2,982/month $5,964/month
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Missouri

    Missouri has fully expanded Medicaid under the Affordable Care Act, meaning adults earning up to 138% of the Federal Poverty Level ($22,025/year for an individual) qualify for Medicaid coverage.

    Who Qualifies for Medicaid in Missouri?

    Medicaid in Missouri covers several distinct groups, each with different income and eligibility requirements. The major categories are: seniors (65+), people with disabilities, pregnant women, children, and low-income adults (if the state has expanded Medicaid).

    Medicaid for Seniors (65+) in Missouri

    Seniors in Missouri may qualify for Medicaid to cover nursing home care, home-based care, or to supplement Medicare coverage. The income limit for Regular Medicaid (Aged, Blind, and Disabled) in Missouri is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Missouri

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Missouri. SSI recipients automatically qualify for Medicaid in most states. SSDI recipients must wait 24 months for Medicare, during which Medicaid may provide coverage if income is below $994/month.

    How to Apply for Medicaid in Missouri

    You can apply for Medicaid in Missouri through the following channels:

    • Online: Through Missouri’s state Medicaid portal or HealthCare.gov
    • Phone: Call Missouri’s Medicaid office directly
    • In person: Visit your local Department of Social Services or Medicaid office
    • Mail: Download and mail a paper application

    Medicaid and Medicare Dual Eligibility in Missouri

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Missouri, dual eligible individuals receive comprehensive coverage: Medicare covers most medical services, while Medicaid covers Medicare premiums, deductibles, copays, and additional services like long-term care. There are approximately 244,800 dual-eligible individuals in Missouri.

    Medicaid Asset Limits in Missouri

    In addition to income limits, Medicaid for long-term care in Missouri has asset limits. For a single applicant, the countable asset limit is typically $2,000. For a married couple where one spouse needs nursing home care, the community spouse may keep up to $157,920 in countable assets (the Community Spouse Resource Allowance, or CSRA, for 2026). The primary home, one vehicle, personal belongings, and certain other assets are typically exempt.