Medicare Ratings Guide

Category: Uncategorized

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

    Medicaid in Massachusetts: 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 Massachusetts

    Massachusetts 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 Massachusetts?

    Medicaid in Massachusetts 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 Massachusetts

    Seniors in Massachusetts 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 Massachusetts is $1,118/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Massachusetts

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Massachusetts. 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 Massachusetts

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

    • Online: Through Massachusetts’s state Medicaid portal or HealthCare.gov
    • Phone: Call Massachusetts’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 Massachusetts

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Massachusetts, 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 255,600 dual-eligible individuals in Massachusetts.

    Medicaid Asset Limits in Massachusetts

    In addition to income limits, Medicaid for long-term care in Massachusetts 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 Maryland 2026: Income Limits, Requirements & How to Apply

    Medicaid in Maryland: 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 Maryland

    Maryland 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 Maryland?

    Medicaid in Maryland 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 Maryland

    Seniors in Maryland 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 Maryland is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Maryland

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Maryland. 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 Maryland

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

    • Online: Through Maryland’s state Medicaid portal or HealthCare.gov
    • Phone: Call Maryland’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 Maryland

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Maryland, 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 190,800 dual-eligible individuals in Maryland.

    Medicaid Asset Limits in Maryland

    In addition to income limits, Medicaid for long-term care in Maryland 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 Maine 2026: Income Limits, Requirements & How to Apply

    Medicaid in Maine: 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) $1,014/month $1,521/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Maine

    Maine 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 Maine?

    Medicaid in Maine 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 Maine

    Seniors in Maine 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 Maine is $1,014/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Maine

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Maine. 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 $1,014/month.

    How to Apply for Medicaid in Maine

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

    • Online: Through Maine’s state Medicaid portal or HealthCare.gov
    • Phone: Call Maine’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 Maine

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Maine, 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 Maine.

    Medicaid Asset Limits in Maine

    In addition to income limits, Medicaid for long-term care in Maine 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 Louisiana 2026: Income Limits, Requirements & How to Apply

    Medicaid in Louisiana: 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 Louisiana

    Louisiana 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 Louisiana?

    Medicaid in Louisiana 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 Louisiana

    Seniors in Louisiana 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 Louisiana is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Louisiana

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Louisiana. 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 Louisiana

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

    • Online: Through Louisiana’s state Medicaid portal or HealthCare.gov
    • Phone: Call Louisiana’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 Louisiana

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Louisiana, 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 160,200 dual-eligible individuals in Louisiana.

    Medicaid Asset Limits in Louisiana

    In addition to income limits, Medicaid for long-term care in Louisiana 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 Kentucky 2026: Income Limits, Requirements & How to Apply

    Medicaid in Kentucky: 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 Kentucky

    Kentucky 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 Kentucky?

    Medicaid in Kentucky 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 Kentucky

    Seniors in Kentucky 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 Kentucky is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Kentucky

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Kentucky. 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 Kentucky

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

    • Online: Through Kentucky’s state Medicaid portal or HealthCare.gov
    • Phone: Call Kentucky’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 Kentucky

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Kentucky, 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 183,600 dual-eligible individuals in Kentucky.

    Medicaid Asset Limits in Kentucky

    In addition to income limits, Medicaid for long-term care in Kentucky 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 Kansas 2026: Income Limits, Requirements & How to Apply

    Medicaid in Kansas: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid No income limit No income limit
    HCBS Waiver (home-based care) No income limit No income limit
    Regular Medicaid (Aged, Blind, Disabled) $994/month $1,491/month
    ACA Expansion (working-age adults) Not available (state not expanded) Not available

    Medicaid Expansion Status in Kansas

    Kansas has not expanded Medicaid, meaning most adults without dependent children do not qualify for Medicaid regardless of income. Only parents earning up to 38% FPL ($10,382/year for a family of three) may qualify.

    Who Qualifies for Medicaid in Kansas?

    Medicaid in Kansas 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 (limited eligibility in non-expansion states).

    Medicaid for Seniors (65+) in Kansas

    Seniors in Kansas 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 Kansas is $994/month for a single person. For nursing home care, the limit is no set income limit, but nearly all income must go toward the cost of care.

    Medicaid for People with Disabilities in Kansas

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Kansas. 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 Kansas

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

    • Online: Through Kansas’s state Medicaid portal or HealthCare.gov
    • Phone: Call Kansas’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 Kansas

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Kansas, 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 Kansas.

    Medicaid Asset Limits in Kansas

    In addition to income limits, Medicaid for long-term care in Kansas 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 Iowa 2026: Income Limits, Requirements & How to Apply

    Medicaid in Iowa: 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 Iowa

    Iowa 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 Iowa?

    Medicaid in Iowa 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 Iowa

    Seniors in Iowa 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 Iowa is $994/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Iowa

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Iowa. 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 Iowa

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

    • Online: Through Iowa’s state Medicaid portal or HealthCare.gov
    • Phone: Call Iowa’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 Iowa

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Iowa, 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 129,600 dual-eligible individuals in Iowa.

    Medicaid Asset Limits in Iowa

    In addition to income limits, Medicaid for long-term care in Iowa 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 Indiana 2026: Income Limits, Requirements & How to Apply

    Medicaid in Indiana: 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) $1,330/month $1,995/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Indiana

    Indiana 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 Indiana?

    Medicaid in Indiana 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 Indiana

    Seniors in Indiana 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 Indiana is $1,330/month for a single person. For nursing home care, the limit is $2,982/month.

    Medicaid for People with Disabilities in Indiana

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Indiana. 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 $1,330/month.

    How to Apply for Medicaid in Indiana

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

    • Online: Through Indiana’s state Medicaid portal or HealthCare.gov
    • Phone: Call Indiana’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 Indiana

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Indiana, 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 248,400 dual-eligible individuals in Indiana.

    Medicaid Asset Limits in Indiana

    In addition to income limits, Medicaid for long-term care in Indiana 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 Illinois 2026: Income Limits, Requirements & How to Apply

    Medicaid in Illinois: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $1,330/month $2,660/month
    HCBS Waiver (home-based care) $1,330/month $2,660/month
    Regular Medicaid (Aged, Blind, Disabled) $1,330/month $1,995/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Illinois

    Illinois 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 Illinois?

    Medicaid in Illinois 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 Illinois

    Seniors in Illinois 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 Illinois is $1,330/month for a single person. For nursing home care, the limit is $1,330/month.

    Medicaid for People with Disabilities in Illinois

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Illinois. 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 $1,330/month.

    How to Apply for Medicaid in Illinois

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

    • Online: Through Illinois’s state Medicaid portal or HealthCare.gov
    • Phone: Call Illinois’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 Illinois

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Illinois, 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 446,400 dual-eligible individuals in Illinois.

    Medicaid Asset Limits in Illinois

    In addition to income limits, Medicaid for long-term care in Illinois 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 Idaho 2026: Income Limits, Requirements & How to Apply

    Medicaid in Idaho: 2026 Income Limits

    Medicaid Program Single Person Married Couple
    Nursing Home / Institutional Medicaid $3,002/month $6,004/month
    HCBS Waiver (home-based care) $3,002/month $6,004/month
    Regular Medicaid (Aged, Blind, Disabled) $1,047/month $1,570/month
    ACA Expansion (working-age adults) 138% FPL = $1,831/month 138% FPL = $2,480/month

    Medicaid Expansion Status in Idaho

    Idaho 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 Idaho?

    Medicaid in Idaho 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 Idaho

    Seniors in Idaho 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 Idaho is $1,047/month for a single person. For nursing home care, the limit is $3,002/month.

    Medicaid for People with Disabilities in Idaho

    People with disabilities who receive SSDI or SSI may qualify for Medicaid in Idaho. 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 $1,047/month.

    How to Apply for Medicaid in Idaho

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

    • Online: Through Idaho’s state Medicaid portal or HealthCare.gov
    • Phone: Call Idaho’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 Idaho

    Individuals who qualify for both Medicare and Medicaid are called “dual eligibles.” In Idaho, 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 61,200 dual-eligible individuals in Idaho.

    Medicaid Asset Limits in Idaho

    In addition to income limits, Medicaid for long-term care in Idaho 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.