District of Columbia Medicaid Eligibility Requirements

This page provides general guidelines for the District of Columbia 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 District of Columbia Department of Health. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the District of Columbia Medicaid office.


District of Columbia Medicaid Overview

Medicaid is a program for DC residents who can't afford to pay for medical care.


District of Columbia Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or qualified aliens living in Washington D.C.


Documents Needed For District of Columbia Medicaid Application


District of Columbia Medicaid Benefits

Services include doctor visits, hospitalization, eye care, ambulatory surgical center, medically necessary transportation, dental services and related treatment, dialysis services, durable medical equipment, emergency ambulance services, hospice services, laboratory services, radiology, medical supplies, mental health services, physician services, nurse practitioner services, home and community based service (HCBS), transplants, and more.


District of Columbia Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for District of Columbia 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: 319%
Age 1-5: 319%
Age 6-18: 319%
N/A Medicaid: 319%
CHIP: N/A
216% 210%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,102
Age 1-5: $3,102
Age 6-18: $3,102
N/A Medicaid: N/A
CHIP: N/A
$2,101 $2,042

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,182
Age 1-5: $4,182
Age 6-18: $4,182
N/A Medicaid: $4,182
CHIP: N/A
$2,831 $2,753

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $5,261
Age 1-5: $5,261
Age 6-18: $5,261
N/A Medicaid: $5,261
CHIP: N/A
$3,562 $3,463

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $6,340
Age 1-5: $6,340
Age 6-18: $6,340
N/A Medicaid: $6,340
CHIP: N/A
$4,293 $4,174