About MedicaidCalc
By the MedicaidCalc Editorial Team · Updated
MedicaidCalc answers one question for one household at a time: who in this family is likely to qualify for Medicaid or CHIP in this state, and at what income limit? It is published by the MedicaidCalc Editorial Team, an independent publisher that also runs other free calculators. It is not a government website, it is not affiliated with any state Medicaid agency, insurer or health plan, and it cannot enroll anyone.
Why it exists
Medicaid eligibility is easy to state and hard to apply. The federal rules are the same everywhere, but every state chooses its own percentage of the poverty line for each group — babies, young children, older children, pregnancy, parents, other adults — and some publish dollar tables instead of percentages. A family of four can have one child in Medicaid, another in CHIP and a parent who qualifies for nothing. Most online tools give one number for the whole household, skip the 5-point disregard, or still show limits a state changed months ago (Washington, DC cut its adult limits on January 1, 2026, and South Carolina’s own chart differs from a widely cited national table).
We built a checklist instead: each person gets a row, a status and the exact dollar limit that applies to them, with the source next to it.
What it can and cannot do
- It applies each state’s published income standards to the household size and monthly income you enter, using the 2026 HHS poverty guidelines.
- It does not check immigration status, assets, residency, the work requirement that starts in 2027, or the details of who belongs in your Medicaid household — the state does.
- For people 65+ or with a disability it lists the state’s pathways and figures but never gives a yes or no, because those programs count income differently and test assets.
- When a figure it relies on is past its expected replacement date, it says so and asks for the current figure instead of guessing.
Who is behind it
The site is written and maintained by the MedicaidCalc Editorial Team. We do not list individual authors or credentials, and we never will invent them; the work is judged by its sources, which are printed on every page. Research and code are prepared with the help of AI tools and checked against the primary documents — see the editorial policy for exactly how.
Money and independence
There are no ads, no affiliate links, no lead forms and no sponsored placements. No insurer, broker or agency has paid for anything on this site. The calculator runs in your browser and does not send your income or household anywhere (see privacy).
Tell us when we are wrong
If your state’s notice shows a different limit, a link is broken or a rule has changed, use the corrections form. Corrections are reviewed against the state’s own documents and dated on the page they affect.