Ohio Medicaid Eligibility Calculator (2026)
Ohio’s expansion now carries a hair trigger: a 2025 law ends coverage for expansion adults immediately if the federal match falls below 90%. Today adults qualify up to $1,836 a month and children up to $4,804 for a family of three.
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Eligibility checklist
The 2025 trigger law
Governor DeWine signed the state’s 2026–2027 budget in July 2025 with a provision ending expansion coverage at once if the enhanced federal matching rate is set below 90%.[KFF] The expansion itself dates to January 1, 2014.[KFF]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 205% | $2,727 | $3,697 | $4,668 | $5,638 | $7,579 |
| Children | 211% | $2,807 | $3,806 | $4,804 | $5,803 | $7,800 |
Parents get more than most
Ohio’s own parent/caretaker group reaches 90% of the poverty line before the expansion takes over at 138%.[MACPAC]
Postpartum
Ohio’s postpartum extension was approved August 16, 2022.[KFF] A mother covered during pregnancy at up to 205% of the poverty line keeps Medicaid for the following 12 months; newborns are deemed eligible to 200%.[MACPAC]
Children and pregnancy
Children of every age are covered by Medicaid to 156% of the poverty line and, with CHIP funds, to 206%; Ohio has no separate CHIP.[MACPAC] Pregnancy coverage reaches 200%.[MACPAC]
Apply through Ohio Benefits. Older Ohioans rely on SSI-based Medicaid or long-term-care eligibility at three times the SSI rate; Ohio has no poverty-level or medically needy group.[MACPAC]
Worked example
A Columbus parent with a 4-year-old and a 7-year-old earns $4,600 a month. That is 202% of the poverty line for 3.
| Parent / caretaker | over by $1,458 | $3,142 |
| Child 1–5 | Healthy Start (CHIP-funded) | $4,804 |
| Child 6–18 | Healthy Start (CHIP-funded) | $4,804 |
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