What are the 2026 income eligibility limits for Medicaid and CHIP in my state by household size?
Executive summary
States set Medicaid and CHIP income cutoffs as percentages of the Federal Poverty Level (FPL) that vary by program and household size; many adults in expansion states qualify up to roughly 138% of FPL while children and pregnant women often have higher limits (see national guidance) [1] [2]. State agencies publish household tables — for example Mississippi’s site shows MAGI-based limits with a 5% FPL disregard applied and provides per-household-size amounts [3]; other states’ portals (Idaho, North Carolina, Missouri) likewise point applicants to page-specific household charts [4] [5] [6].
1. Why you won’t find a single 2026 number for “your state”
Medicaid and CHIP rules are a federal-state partnership: federal guidance sets MAGI methodology and allows states to pick different percentage cutoffs for different groups, so income limits differ by state, by eligibility group (adults, children, pregnant people, seniors, people with disabilities), and by household size [7] [2]. National resources explain the general benchmark — expanded adult coverage is calculated using 133% FPL statutory language that effectively functions as 138% FPL in practice — but that does not replace the state-specific tables you must consult [1].
2. The headline benchmarks you should know
In expansion states the common adult cutoff is the 133% statutory threshold (which due to the 5% MAGI disregard functions like 138% of FPL) — that’s the baseline many organizations cite when explaining adult eligibility [1]. Federal CMS and Medicaid guidance also note the routine 5% FPL disregard built into MAGI rules; states typically show the disregard reflected in the household dollar amounts on their pages [2] [3].
3. Practical next step: go to your state’s Medicaid/CHIP income table
State web pages publish the precise 2026 household-size dollar amounts. Mississippi’s official page explains MAGI, the 5% disregard, and shows per-household-size limits (and an “add $890 for each person over eight” convention on that page) [3]. Idaho and North Carolina both maintain program income-limits pages where you click to see the tables for the relevant program and family size [4] [5]. Missouri’s benefit-limits page explicitly gives instructions for adding per-person amounts for households larger than six [6].
4. Where national trackers help — and where they fall short
Resources like KFF’s and CMS’s national tables compile state-by-state percentage limits and program categories, which helps compare whether a state covers adults to 138% FPL or sets higher limits for children or pregnant women [2] [8]. But those sources present percentage rules and historical snapshots; to translate a percentage into a 2026 dollar cutoff for your household size you still need the state-specific table or a conversion to the 2026 FPL numbers [2].
5. Common confusions reporters and applicants face
“Household size” for MAGI eligibility typically follows federal tax household rules, which means people counted for one program may differ from other programs; state sites warn household composition can differ and advise using their explanatory tools [9]. The 5% FPL “disregard” is applied differently in presentation — many state tables already reflect it, so applicants shouldn’t double-apply it [3] [2].
6. If you want the exact 2026 dollar limits for your household
Available sources instruct you to consult your state’s Medicaid/CHIP income-limits page for program-specific, household-size dollar figures [3] [4] [5]. National guidance can orient you (for example, the adult expansion anchor at 133/138% FPL) but does not replace the state table [1] [2]. If you tell me which state and household size you need, I will point to the precise state page from the above sources and summarize the 2026 numbers cited there — current reporting includes state pages for Mississippi, Idaho, North Carolina, Missouri and national compilations like CMS/KFF that explain how those tables are set up [3] [4] [5] [2] [8].
Limitations and transparency: I used only the provided sources. Available sources do not mention a consolidated national dollar table for 2026 household limits; they show either state pages with tables or national percent-of-FPL guidance that requires converting to dollar amounts using the FPL chart [2] [1].