Medicaid › Your state

Medicaid in your state

Medicaid is run by each state, so the rules and the place to apply depend on where you live. Pick your state to see how to apply, who to call, and the rules that matter most after 55.

Choose your state

At a glance

40 states and Washington, D.C. cover adults under 65 on income alone (Medicaid expansion), according to KFF’s November 2026 tracker. The new work rule applies only in those states. If you get SSI, most states give you Medicaid automatically.

AlabamaDid not expand

Apply	Alabama Medicaid (Alabama Medicaid Agency)
Phone	334-242-5000
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

AlaskaExpanded

Apply	Alaska Medicaid, Division of Public Assistance, Alaska Department of Health
Phone	800-478-7778
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

ArizonaExpanded

Apply	AHCCCS (Arizona Health Care Cost Containment System), Arizona's Medicaid agency
Phone	800-654-8713
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

ArkansasExpanded

Apply	Arkansas Medicaid, Division of Medical Services, Arkansas Department of Human Services
Phone	800-482-8988
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Checks began July 1, 2026. Full rules start January 1, 2027.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Work rule: checks began July 1, 2026, with no penalties in 2026. Full rules start January 1, 2027.

CaliforniaExpanded

Apply	Medi-Cal, California Department of Health Care Services (DHCS)
Phone	800-541-5555
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

ColoradoExpanded

Apply	Health First Colorado (Colorado Medicaid), Colorado Department of Health Care Policy & Financing
Phone	800-221-3943
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

ConnecticutExpanded

Apply	HUSKY Health (Connecticut Medicaid), Connecticut Department of Social Services
Phone	855-626-6632
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Under 65 (HUSKY A, B and D): apply through Access Health CT, 1-855-805-4325. Age 65+, blind or disabled (HUSKY C): apply through the Department of Social Services.

DelawareExpanded

Apply	Delaware Medicaid, Division of Medicaid & Medical Assistance (DMMA), Delaware Health and Social Services
Phone	866-843-7212
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

Good to know: Nursing home or long-term care at home: Medicaid Central Intake Unit, 1-866-940-8963.

District of ColumbiaExpanded

Apply	DC Medicaid, Department of Health Care Finance (DHCF)
Phone	202-727-5355
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Apply at an Economic Security Administration service center. Call 202-727-5355 to find one.

FloridaDid not expand

Apply	Florida Medicaid, Agency for Health Care Administration (AHCA); eligibility by Florida Department of Children and Families (DCF)
Phone	850-300-4323
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

GeorgiaDid not expand

Apply	Georgia Medicaid, Georgia Department of Community Health (DCH)
Phone	877-423-4746
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Has its own 80-hour rule (Pathways) since July 1, 2023.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Georgia did not adopt the full Medicaid expansion. Its Pathways program for adults 19 to 64 has required 80 hours a month of work or other activities since July 1, 2023.

HawaiiExpanded

Apply	Med-QUEST (Hawaii Medicaid), Med-QUEST Division, Hawaii Department of Human Services
Phone	800-316-8005
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

IdahoExpanded

Apply	Idaho Medicaid, Idaho Department of Health and Welfare
Phone	877-456-1233
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

IllinoisExpanded

Apply	Illinois Medicaid, Illinois Department of Healthcare and Family Services (HFS); applications via Illinois Department of Human Services
Phone	800-843-6154
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

IndianaExpanded

Apply	Indiana Medicaid, Family and Social Services Administration (FSSA); eligibility by Division of Family Resources
Phone	800-403-0864
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

IowaExpanded

Apply	Iowa Medicaid, Iowa Department of Health and Human Services
Phone	800-338-8366
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts December 1, 2026.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Work rule: applies to new applicants from December 1, 2026, and to current members with renewals from February 2027.

KansasDid not expand

Apply	KanCare (Kansas Medicaid)
Phone	800-792-4884
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

KentuckyExpanded

Apply	Kentucky Medicaid, Department for Medicaid Services, Cabinet for Health and Family Services
Phone	855-306-8959
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

LouisianaExpanded

Apply	Louisiana Medicaid, Louisiana Department of Health
Phone	888-342-6207
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

MaineExpanded

Apply	MaineCare, Maine Department of Health and Human Services (Office for Family Independence)
Phone	855-797-4357
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

MarylandExpanded

Apply	Maryland Medicaid (Medical Assistance), Maryland Department of Health
Phone	855-642-8572
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Most people under 65 apply through Maryland Health Connection. The apply page lists in-person options for other groups.

MassachusettsExpanded

Apply	MassHealth, Massachusetts Executive Office of Health and Human Services
Phone	800-841-2900
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: The apply link goes to the page for people 65+ and long-term care. People under 65 apply through a separate MassHealth page.

MichiganExpanded

Apply	Michigan Medicaid, Michigan Department of Health and Human Services (MDHHS)
Phone	800-642-3195
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

MinnesotaExpanded

Apply	Medical Assistance (Minnesota Medicaid), Minnesota Department of Human Services
Phone	800-657-3672
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: People 65+, blind or disabled apply through their county or Tribal agency, which can also take an application by phone. The state's apply page links to the directory. The phone number above is the state's Health Care Consumer Support line for general questions.

MississippiDid not expand

Apply	Mississippi Medicaid, Mississippi Division of Medicaid
Phone	800-421-2408
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

MissouriExpanded

Apply	MO HealthNet (Missouri Medicaid), Missouri Department of Social Services
Phone	855-373-4636
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

MontanaExpanded

Apply	Montana Medicaid, Montana Department of Public Health and Human Services (DPHHS)
Phone	888-706-1535
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Started July 1, 2026.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Work rule: started July 1, 2026. Reviews only through September 2026; denials began in October 2026.

NebraskaExpanded

Apply	Nebraska Medicaid, Nebraska Department of Health and Human Services (ACCESSNebraska)
Phone	855-632-7633
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Started May 1, 2026.
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Work rule: started May 1, 2026, for people covered through Medicaid expansion.

NevadaExpanded

Apply	Nevada Medicaid; eligibility by Nevada Division of Social Services
Phone	866-569-1746
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

Good to know: This is the Nevada Medicaid toll-free line. We didn't find a separate statewide application line.

New HampshireExpanded

Apply	New Hampshire Medicaid, NH Department of Health and Human Services
Phone	844-275-3447
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

New JerseyExpanded

Apply	NJ FamilyCare (New Jersey Medicaid), NJ Department of Human Services
Phone	800-701-0710
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

New MexicoExpanded

Apply	New Mexico Medicaid, New Mexico Health Care Authority
Phone	800-283-4465
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

New YorkExpanded

Apply	New York State Medicaid, NYS Department of Health
Phone	800-541-2831
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: People 65+ and people with Medicare generally apply through their local Department of Social Services. Under 65 can also use NY State of Health, 1-855-355-5777.

North CarolinaExpanded

Apply	NC Medicaid, NC Department of Health and Human Services
Phone	888-245-0179
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

North DakotaExpanded

Apply	North Dakota Medicaid, North Dakota Health and Human Services
Phone	800-755-2604
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

OhioExpanded

Apply	Ohio Medicaid, Ohio Department of Medicaid
Phone	800-324-8680
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

OklahomaExpanded

Apply	SoonerCare (Oklahoma Medicaid), Oklahoma Health Care Authority
Phone	800-987-7767
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

OregonExpanded

Apply	Oregon Health Plan (Oregon Medicaid), Oregon Health Authority; applications via Oregon Department of Human Services (ONE)
Phone	800-699-9075
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

PennsylvaniaExpanded

Apply	Pennsylvania Medical Assistance (Medicaid), PA Department of Human Services
Phone	866-550-4355
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Rhode IslandExpanded

Apply	Rhode Island Medicaid, Executive Office of Health and Human Services (EOHHS)
Phone	855-697-4347
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Under-65 coverage can also go through HealthSource RI, 1-855-840-4774.

South CarolinaDid not expand

Apply	Healthy Connections Medicaid, South Carolina Department of Health and Human Services (SCDHHS)
Phone	888-549-0820
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

South DakotaExpanded

Apply	South Dakota Medicaid, South Dakota Department of Social Services
Phone	605-773-4678
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

Good to know: The phone number above is the state's Medicaid Eligibility line. You can also apply in person at a local Department of Social Services office.

TennesseeDid not expand

Apply	TennCare (Tennessee Medicaid), Division of TennCare
Phone	855-259-0701
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

TexasDid not expand

Apply	Texas Medicaid, Texas Health and Human Services
Phone	2-1-1
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

Good to know: Texas lists 2-1-1 (option 2) as its main line for help with Medicaid and other benefits.

UtahExpanded

Apply	Utah Medicaid, Utah Department of Health and Human Services; eligibility by Department of Workforce Services
Phone	866-435-7414
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, but it uses the same rules as SSI.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

VermontExpanded

Apply	Vermont Medicaid, Department of Vermont Health Access
Phone	855-899-9600
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

VirginiaExpanded

Apply	Cardinal Care (Virginia Medicaid), Department of Medical Assistance Services (DMAS)
Phone	833-522-5582
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Not automatically. You apply to the state separately, and it uses its own rules, which can be stricter than SSI's.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

WashingtonExpanded

Apply	Apple Health (Washington Medicaid), Washington State Health Care Authority
Phone	800-562-3022
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Age 65+, blind, disabled or long-term care: request an application at 1-877-501-2233. Under 65: Washington Healthplanfinder, 1-855-923-4633.

West VirginiaExpanded

Apply	West Virginia Medicaid, Bureau for Medical Services, WV Department of Human Services
Phone	877-716-1212
Covers adults under 65 on income alone (Medicaid expansion)?	Yes
New work rule	Starts by January 1, 2027, unless the state receives a federal delay (allowed up to December 31, 2028).
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

WisconsinDid not expand

Apply	Wisconsin Medicaid (ForwardHealth / BadgerCare Plus), Wisconsin Department of Health Services
Phone	800-362-3002
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	No
Medically needy (“spend-down”) program for older adults and people with disabilities?	Yes

Good to know: Applications are handled by local income maintenance and Tribal agencies (see the directory on the state's site).

WyomingDid not expand

Apply	Wyoming Medicaid, Wyoming Department of Health
Phone	855-294-2127
Covers adults under 65 on income alone (Medicaid expansion)?	No
New work rule	Does not apply. The new rule covers adults in the Medicaid expansion group, and this state did not expand.
If you get SSI	Yes. In this state, getting SSI also gives you Medicaid. No separate application.
Nursing home Medicaid: income cap (may need a special trust)?	Yes
Medically needy (“spend-down”) program for older adults and people with disabilities?	No

What do these rows mean?

Medicaid expansion: the state covers adults under 65 based on income alone. More on coverage before Medicare.
New work rule: adults 19 to 64 covered through expansion must show 80 hours a month of work or other activities, unless they are exempt. People with Medicare are exempt. Read the guide.
If you get SSI: whether Medicaid comes with SSI or needs its own application. More on SSI and Medicaid.
Income cap and medically needy: two ways states let people with higher incomes qualify for nursing home care. Read the long-term care guide. These two rows come from secondary sources, so confirm with your state.

Sources. State Medicaid agency websites (apply pages and phone numbers, loaded November 12, 2026) · SSA, POMS SI 01715.010, Medicaid and the SSI program (effective September 30, 2026) · KFF, Status of State Medicaid Expansion Decisions (November 2026) and Medicaid work requirements tracker (November 3, 2026) · state agency announcements for early work-rule start dates (Nebraska, Montana, Iowa, Arkansas, Georgia) · KFF, Medicaid eligibility through the medically needy pathway (2026 survey) · American Council on Aging, Miller trust (income cap) state table (June 2026).

Last verified: November 12, 2026. Phone numbers and links change; if one doesn’t work, tell us and use the state’s main website.

Benefits Insider is an independent publisher, not a government agency. This page is general information, not legal or financial advice for your situation. For a decision on your case, contact your state Medicaid office.

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