Medicaid
New York Medicaid eligibility
New York expanded Medicaid. Adults 19 to 64 qualify with income up to 200% of the federal poverty level, about $2,660 a month for one person in 2026.
Source: Medicaid.gov: Medicaid, CHIP, and Basic Health Program Eligibility Levels (state decisions as of 2023-12-01, read 2026-10-23), as of December 1, 2023.
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Quick facts
- ACA expansion
- Yes
- Adults 19 to 64
- 200% FPL
- Parents
- 133% FPL
- Pregnant women
- 218% FPL
- Children 6 to 18
- 149% FPL
- State agency
- New York Medicaid agency
New York income limits by group
| Group | Income limit | Monthly, household of 1 (2026) |
|---|---|---|
| Adults 19 to 64 (expansion group) | 200% FPL | $2,660 |
| Parents and caretaker relatives | 133% FPL | $1,768 |
| Pregnant women (Medicaid) | 218% FPL | $2,899 |
| Pregnant women (CHIP) | No separate program | |
| Children under 1 (Medicaid) | 218% FPL | $2,899 |
| Children 1 to 5 (Medicaid) | 149% FPL | $1,981 |
| Children 6 to 18 (Medicaid) | 149% FPL | $1,981 |
| Children (separate CHIP) | 400% FPL | $5,320 |
Medicaid.gov notes that MAGI rules generally adjust income by an amount equal to a 5% FPL disregard, so a person can qualify with income about 5 percentage points of FPL above the standard shown. Other rules apply too, such as citizenship, immigration status, and state residency. The state agency makes the decision.
Notes from medicaid.gov
- Adults with incomes from above 133% and up to 200% of the FPL are covered through BHP.
Related pages
Questions
Who qualifies for Medicaid in New York?
New York expanded Medicaid. Adults 19 to 64 qualify with income up to 200% of the federal poverty level, about $2,660 a month for one person in 2026.
Did New York expand Medicaid?
Yes. Medicaid.gov lists New York's adult expansion group at 200% FPL.
How do I apply for Medicaid in New York?
Apply any time through the state Medicaid agency or with a HealthCare.gov Marketplace application, which sends your information to the state if you may qualify.