Utah Medicaid Eligibility Calculator (2026)
Utah voters passed the expansion by initiative in November 2018 and coverage began January 1, 2020; adults qualify up to $1,836 a month. Pregnancy and infant coverage stop low, at $3,279 for a family of three.
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Eligibility checklist
A rewritten trigger law
In March 2026 Governor Cox signed HB 15, changing the trigger law that has existed since the expansion began: if the federal match falls below 90%, the health department must produce a plan within 60 days to keep the expansion, and the end date moves to the next adjournment of the legislature. Utah also applied for a work-requirement amendment but does not expect to use it before federal rules start.[KFF]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 144% | $1,916 | $2,597 | $3,279 | $3,960 | $5,324 |
| Children | 205% | $2,727 | $3,697 | $4,668 | $5,638 | $7,579 |
Low pregnancy and infant limits
Medicaid covers babies, children 1–5 and pregnant women only to 139% of the poverty line (144% with the disregard) and older children to 133%; Utah’s separate CHIP covers children above those points to 200%.[MACPAC]
Postpartum
Utah’s postpartum extension was approved March 8, 2024.[KFF] With pregnancy covered only to 144% of the poverty line including the disregard, it matters chiefly for low-income mothers.[MACPAC]
Applying
Apply through myCase at the Department of Workforce Services. Utah is an “SSI criteria” state; its poverty-level and medically needy standards for older adults are both 100% of the poverty line.[MACPAC]
Worked example
A Provo couple expecting a baby (three people for Medicaid) earns $3,500 a month. That is 153.7% of the poverty line for 3.
| Pregnant | over by $221 | $3,279 |
| Adult 19–64 | over by $358 | $3,142 |
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