Washington Medicaid Eligibility Calculator (2026)

Apple Health for Kids

Medicaid covers children of every age to 210% of the poverty line; the separate CHIP part of Apple Health for Kids continues to 312% (317% with the disregard).^[MACPAC] Pregnancy and from-conception coverage reach 210%.^[MACPAC]

Because that 210% Medicaid line is the same for babies, toddlers and teenagers, brothers and sisters of different ages in Washington land in the same program, unlike states where a baby is in Medicaid and an older sibling in CHIP.^[MACPAC]

Adults

The parent/caretaker group alone stops at 30% of the poverty line; the expansion, in place since January 1, 2014, covers parents and adults without children to 138%.^{[MACPAC][KFF]}

Postpartum

Washington’s 12-month postpartum extension was approved June 30, 2022.^[KFF] Newborns of Apple Health mothers are deemed eligible to 210% of the poverty line.^[MACPAC]

Washington SSI recipients are enrolled in Apple Health automatically, and for nursing-home or home-and-community services the income cap is three times the SSI rate, $2,982 a month in 2026.^{[MACPAC][SSA]}

Applying

Washington Healthplanfinder handles Apple Health applications for the Health Care Authority. For older adults, Washington’s medically needy spend-down sits at about 74% of the poverty line.^[MACPAC]