Connecticut Medicaid Eligibility Requirements

This page provides general guidelines for the Connecticut Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Connecticut Department of Social Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Connecticut Medicaid office.


Connecticut Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Connecticut Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or legal permanent residents, and Connecticut residents. Must be children ages 0 to 18, or adults, parents, or caregivers living at or below 185% FPL; or they must be pregnant women living at or below 250% FPL.


Documents Needed For Connecticut Medicaid Application


Connecticut Medicaid Benefits

Full Medicaid health coverage/benefits package, including long-term care/skilled nursing facility, home health care and non-emergency medical transportation. Some services may need prior approval.


Connecticut Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Connecticut Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 196%
Age 1-5: 196%
Age 6-18: 196%
318% Medicaid: 258%
CHIP: N/A
196% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,906
Age 1-5: $1,906
Age 6-18: $1,906
$3,093 Medicaid: N/A
CHIP: N/A
$1,906 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,569
Age 1-5: $2,569
Age 6-18: $2,569
$4,168 Medicaid: $3,382
CHIP: N/A
$2,569 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,232
Age 1-5: $3,232
Age 6-18: $3,232
$5,244 Medicaid: $4,255
CHIP: N/A
$3,232 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,896
Age 1-5: $3,896
Age 6-18: $3,896
$6,320 Medicaid: $5,128
CHIP: N/A
$3,896 $2,643