Who are eligible for Medicaid?

Generally, low income resources are applied for Medicaid. Many groups of people are covered by Medicaid. Within these groups, we should meet certain requirements like age, whether you are pregnant, disabled, blind, or aged; your income and resources (like real property or other items that can be sold for cash).

Mandatory Eligibility Groups:

• Qualify for the Aid to Families with Dependent Children (AFDC) program
• Qualify for Supplemental Security Income (SSI)
• Pregnant women at FPL (Federal Poverty Level)
• Infants born to Medicaid-eligible pregnant women.
• Children under age 6 and pregnant women whose family income is at or below 133% of the Federal poverty level.
• Recipients of adoption assistance and foster care under Title IV-E of the Social Security Act
• Certain people with Medicare
• Special protected groups who may keep Medicaid for a period of time. 

Optional Eligibility Groups

• Infants up to age 1 and pregnant women not covered under the mandatory rules whose family income is not more than 185% of the FPL.
• Optional targeted low-income children.
• Certain aged, blind, or disabled adults who have incomes above those requiring mandatory coverage, but below the Federal poverty level.
• Children under age 21 who meet income and resources requirements for the Aid to Families with Dependent Children (AFDC), but who otherwise are not eligible for the AFDC.
• Institutionalized individuals with limited income and resources.
• Persons who would be eligible if institutionalized but are receiving care under home and community-based services waivers.
• Tuberculosis-infected persons who would be financially eligible for Medicaid at the Supplemented Security Income (SSI) level.
• Low-income, uninsured women screened and diagnosed through a Center's for Disease Control (CDC) Breast and Cervical Cancer Early Detection Program (NBCCEDP) and determined to be in need of treatment for breast or cervical cancer.
• Temporary Assistance to Needy Families (TANF).