To get Medicaid, follow these steps:
- Check Your Eligibility
Medicaid eligibility varies by state but generally includes adults with low income, children, pregnant women, people age 65 or over, and people with disabilities. Eligibility depends on factors such as age, income level, family size, pregnancy status, or disability
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Apply for Medicaid
You can apply anytime in one of these ways:- Directly through your state’s Medicaid agency. You must be a resident of that state. Contact your state Medicaid office to apply and find out what documents are required (e.g., proof of income, citizenship, Social Security number)
* Through the Health Insurance Marketplace by creating an account and filling out an application. If you qualify, your information will be forwarded to your state Medicaid agency for enrollment
- Provide Required Documentation
Typical documents include your name, date of birth, Social Security number, proof of income (pay stubs or tax forms), proof of citizenship or immigration status, and information about any other insurance or government benefits you receive
- Wait for Eligibility Decision
After applying, an eligibility specialist or caseworker will review your application and may interview you. You will be notified by mail about your eligibility status, usually within 45 days (up to 60 days if disability determination is involved)
- Receive Medicaid Benefits
If approved, you will receive a Medicaid card and can access free or low-cost medical care, including services not typically covered by Medicare, such as nursing home care and personal care services
Additional Tips:
- Some states have expanded Medicaid coverage to include more adults with low income, so check your state’s specific rules
- You can apply online, by phone, by mail, or in person depending on your state’s options
- If you have both Medicare and Medicaid, you are considered “dually eligible” and Medicaid may help pay Medicare premiums and other costs
For the most accurate and state-specific information, contact your state Medicaid agency directly or visit your state’s official Medicaid website
