What's the highest income to qualify for Medicaid?

The highest income to qualify for Medicaid (Medi-Cal in California) generally depends on your state, family size, and age, but for most non-disabled adults in states that expanded Medicaid, it's around 138% of the Federal Poverty Level (FPL), which is about $21,597 for a single person or $44,367 for a family of four in 2024/2025. Higher limits apply to children (up to 266% FPL) and pregnant women (up to 213% FPL or more), while specific programs exist for those above these thresholds.

What's the most money you can make to get Medicaid?

So in a state in the continental US that has expanded Medicaid (which includes most, but not all, states), a single adult is eligible for Medicaid in 2021 with an annual income of $17774. ( or $1481 mo. )

How much can I make and still qualify for Medicaid in Missouri?

Missouri Medicaid (MO HealthNet) income limits vary significantly by program, but for Expansion Adults, it's around 138% of the Federal Poverty Level (FPL), meaning roughly $20,800 for a single person and $43,000 for a family of four (based on 2024/2025 figures). Different groups like children, pregnant women, and the aged/disabled have higher or different FPL percentages, so check the official Missouri Department of Social Services (DSS) site for exact figures.
 

What is the monthly income limit for Medicaid in FL?

Florida Medicaid income limits vary significantly by age, family size, and eligibility group (like pregnant women, children, or those needing long-term care), but generally, for a single adult in 2024/2025, it's around $2,829/month (gross) for institutional care, while ACA-based coverage for other adults is much lower, as Florida hasn't expanded Medicaid, leaving many low-income adults without coverage unless they fit specific categories like parents or seniors. 

What is the monthly income limit for Medicaid in Louisiana in 2025?

In Louisiana for 2025, standard Medicaid Expansion for low-income adults (19-64) covers those earning up to 138% of the Federal Poverty Level, which is about $2,162/month for an individual, while other programs like LaCHIP and Family Opportunity Act have different limits, e.g., Family Opportunity for a family of one is around $3,913 monthly. Limits depend heavily on the specific program, household size, and if you're a child, pregnant, or adult, with figures updated annually by the Louisiana Department of Health (LDH). 

What Is The Highest Income To Qualify For Medicaid? - CountyOffice.org

What is the highest income to be eligible for Medicaid in Louisiana?

Louisiana Medicaid income limits vary by group but generally follow the Federal Poverty Level (FPL), with adults under 65 typically qualifying at or below 138% FPL, children up to 217% FPL, and pregnant women at 138% FPL, though exact figures change yearly and depend on family size, so checking the Louisiana Department of Health website for current charts is essential.
 

How do I check my Medicaid eligibility in Louisiana?

If you are not sure if you have Medicaid health coverage, call Medicaid Customer Service toll free at 1-888-342-6207. You can apply for Medicaid at any time. Medicaid Customer Service can help you apply by phone.

Are there ways to lower my income for Medicaid eligibility?

A spend-down program may also be called an “excess income program,” “surplus income program,” or “medically needy program.” Here's how it works: You submit proof of medical expenses—like hospital bills, prescriptions, or doctor visits—to your state's Medicaid office. These costs are subtracted from your monthly income.

Why would you not qualify for Medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.

Why are people getting kicked off Medicaid?

The largest source of the Medicaid cuts, accounting for 5.3 million fewer enrollees according to CBO, stems from a provision in the budget law that compels people enrolled through the ACA Medicaid expansion to meet new work requirements with onerous reporting and administrative burdens.

How often does Medicaid check your income?

They will check when you submit an application and on an annual basis, but checks can occur at any time. While agencies can look at account balances, they can't view your personal bank statements. Other information used to determine Medicaid eligibility often comes from public records.

What disqualifies a person from Medicaid?

In general, a single person must have no more than $2,000 in cash assets to qualify. If you're over 65, the requirements are more complex. Whatever your age, there are strict rules about asset transfers. Medicaid may take into consideration any gifts or transfers of cash you've made recently.

How much can you have in your bank account for Medicaid?

Medicaid and the Asset Test

SSI sets the standard. If your income and assets are above a certain level, you will not qualify for the program. In 2024, the income limit is set at $2,829 per month and the asset limit at $2,000 for an individual. 5 However, different states may set different rates.

How to prevent Medicaid from taking your money?

The person you care for can transfer assets into an irrevocable trust to protect them from Medicaid spend-down or penalties, as long as they set up the trust more than five years prior to applying for Medicaid. Any assets in the trust must stay in the trust until after your loved one passes away.

What's the maximum income you can make for Medicaid?

For most states, the Medicaid income limit is $2,901 per month for a single applicant and $5,802 per month for married applicants, typically set at 300% of the Federal Benefit Rate (FBR).

What are common Medicaid denials?

Cause: Medicaid claims are often rejected due to missing or inaccurate client information, such as names, birthdates, Medicaid ID numbers, or insurance details. Even a small typographical error can trigger a rejection.

How to get approved for Medicaid in Louisiana?

Louisiana Medicaid provides free or low-cost health coverage for low-income families, pregnant women, children, the elderly, and people with disabilities, with key eligibility based on income (adults under 64 often need income below 138% Federal Poverty Level), age, disability, or specific needs like pregnancy or cancer treatment, but you must apply through the Louisiana Department of Health (LDH) or an insurer to confirm.
 

What is considered low income in Louisiana?

In Louisiana, "low income" varies by program, but generally means earning around 80% of the Area Median Income (AMI), while "very low income" is 50% AMI, and Extremely Low Income (ELI) is 30% AMI, often tied to federal poverty levels, with HUD data for 2024 showing Louisiana's "Low Income" limits for a family of four at roughly $60,000-$70,000, and even lower for smaller families, but SNAP uses higher thresholds like 130% or 200% poverty. 

How to check Medicaid eligibility?

To find out for sure if you're eligible for Medicaid, you must contact your state Medicaid agency. Choose your state below for the contact information you need to get started.

What are the income limits for Medicaid in Louisiana 2026?

For 2026 Louisiana Medicaid (Healthy Louisiana), the primary income limit for most adults under 65 is 138% of the Federal Poverty Level (FPL), while children qualify at higher levels (217% FPL), and pregnant women at 138% FPL. Specific 2026 dollar amounts for the 138% FPL threshold are calculated using updated poverty guidelines, but generally, this translates to about $20,783 annually or around $1,732 monthly for a single person, with higher limits for larger families, though exact figures depend on the official 2026 FPL release by HHS. 

Why would you get denied for Medicaid?

Primary reasons include incomplete applications, failure to respond swiftly to Medicaid correspondence, being over income limits, and more. Learn more in this blog by HKH Elder Law -- receiving professional guidance can significantly increase your chances of approval.

Why would they deny Medicaid?

One of the most frequent reasons for Medicaid denials is patient eligibility. Medicaid eligibility can change monthly, so a patient who was eligible at the time of service might lose eligibility before the claim is submitted. If the patient's eligibility status isn't checked, you could end up with a denied claim.

What triggers a Medicaid investigation?

Common red flags that trigger investigations

Phantom billing: Submitting claims for services that were never actually provided. Kickback arrangements: Exchanging money or benefits for patient referrals. Duplicate billing: Sending the same claim more than once to obtain multiple payments.

Does Medicaid check your credit cards?

During the look-back period, Medicaid may review credit card statements to verify expenses and ensure that no unexplained transfers or withdrawals were made.