Medicaid and CHIP Eligibility Levels
Income eligibility levels for key Medicaid, CHIP and Basic Health Program coverage groups in each state, as a percentage of the federal poverty level.
Freshness
- Last posted
- Period covered
- Update frequency
Dates as CMS lists them in its catalog.
Before you use it
- CMS's description says these levels are as of April 1, 2018. Check the posted date and the Medicaid.gov page linked in the description for newer levels.
Columns 12
| Column | What it means | Type |
|---|---|---|
Statestate | text | |
Notesnotes | text | |
Medicaid Ages 0-1medicaid_ages_01 | text | |
Medicaid Ages 1-5medicaid_ages_15 | text | |
Medicaid Ages 6-18medicaid_ages_618 | text | |
Separate CHIPseparate_chip | text | |
Pregnant Women Medicaidpregnant_women_medicaid | text | |
Pregnant Women CHIPpregnant_women_chip | text | |
Parent/Caretakerparentcaretaker | text | |
Expansion to Adultsexpansion_to_adults | text | |
Separate CHIP Agesseparate_chip_ages | text | |
Parent/Caretaker Income Standardparentcaretaker_income_standard | text |
No column matches that filter.
At a glance
- Catalog
- data.medicaid.gov
- Publisher
- Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov
- Rows
- 51
- Columns
- 12
- State column
state- Topics
- Medicaid and CHIP
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.medicaid.gov/api/1/datastore/query/d7e4cccb-1c56-5b5d-acce-5e7744c6d3b4/0?limit=10
To keep only one state, filter on the state column.
CMS's description
The following table provides eligibility levels in each state for key coverage groups that use Modified Adjusted Gross Income (MAGI), as of April 1, 2018. The data represent the principal, but not all, MAGI coverage groups in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). All income standards are expressed as a percentage of the federal poverty level (FPL). The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to a 5% FPL disregard. Other eligibility criteria also apply, such as citizenship, immigration status, and state residency. For more information, see: https://www.medicaid.gov/medicaid/program-information/medicaid-and-chip-eligibility-levels/index.html
The summary at the top was written by hand from this description. Record id mcd:d7e4cccb-1c56-5b5d-acce-5e7744c6d3b4. This record as JSON.