District of Columbia Medicaid Eligibility Calculator (2026)
The District cut adult Medicaid on January 1, 2026: parents and adults without children now qualify only up to $1,836 a month for one person, down from roughly 215% of the poverty line. Children and pregnant residents keep one of the highest limits anywhere — $7,377 for a family of three.
Verified · DC DHCF MDL 25-02
Eligibility checklist
The 2026 cut and the Healthy DC Plan
Medicaid Director Letter 25-02 lowered the income limit for parent/caretaker relatives (from 216% + 5%) and childless adults (from 210% + 5%) to 133% + 5%. Adults whose income was above that line lost Medicaid on December 31, 2025.[state]
Residents 21–64 between 138% and 200% of the poverty line who cannot get Medicaid or employer coverage can use the Healthy DC Plan through DC Health Link, which covers primary and specialist care, hospital and emergency care, prescriptions and behavioral health; people who lost Medicaid in the cut were enrolled automatically.[state]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 324% | $4,310 | $5,843 | $7,377 | $8,910 | $11,978 |
| Children | 324% | $4,310 | $5,843 | $7,377 | $8,910 | $11,978 |
Children and pregnancy
DC covers children of every age and pregnant residents to 319% of the poverty line, financing the upper band with CHIP funds instead of running a separate CHIP; from-conception coverage reaches the same level.[MACPAC]
Pregnancy is not affected by the cut
The January 2026 reduction applied only to parent/caretaker relatives and childless adults. Pregnant residents still qualify to 319% of the poverty line, and DC’s 12-month postpartum extension, approved June 16, 2022, keeps them covered for a year after birth.[state][MACPAC][KFF]
Applying
Use District Direct or a DHCF service center. For older residents, DC offers a 100% poverty-level pathway and a medically needy level around 64%.[MACPAC]
Worked example
A married couple in Columbia Heights with no children reports $2,600 a month. That is 144.2% of the poverty line for 2.
| Adult 19–64 | over by $111 | $2,489 |
Nearby: Maryland · Virginia. How limits are applied · District Direct · Report a correction