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Ohio · Ohio Department of Medicaid

Ohio Medicaid income limits for 2026

Ohio Medicaid income limits for 2026 let children qualify up to 211% of poverty with the 5% disregard, $5,803 a month for a family of four. Pregnant women qualify up to 205% and parents up to 95% ($2,163 for a family of three); adults 19 to 64 have a 138% line, about $1,836 for one person, not re-verified for 2026.

SNAP by State editorial teamUpdated 16 sources

Independent estimate tool, not a government website. We can’t take applications or see your case; apply through Ohio Department of Medicaid. Applying is free.

Ohio Medicaid · 2026 limits

Ohio Medicaid income checker

Pick who needs coverage, the household size and monthly income before taxes. The checker converts each published limit to dollars for your household.

Example

Ohio Medicaid check

Child 6–18 · household of 3 · 2026 poverty guidelines

Under the Ohio Medicaid children limit

198%of the federal poverty level ($4,500 of $2,277 a month at 100%)

  • Ohio Medicaid children$4,804/mo211% FPL · incl. 5% disregard

Estimate only. Medicaid counts income under MAGI rules and checks age, residency and immigration status; the state agency decides.

Limits as published by Ohio Department of Medicaid and Medicaid.gov, as % of the 2026 HHS poverty guidelines, converted to monthly dollars. Includes the 5% income disregard where it applies. Estimate only.

Medicaid income limits: Ohio figures by household size

Ohio sets its Medicaid limits as percentages in the Ohio Administrative Code, and the table below applies those percentages to the 2026 HHS poverty guidelines, with the 5% disregard added.[1][2] We did not find a 2026 dollar chart published by Ohio, so these are conversions of the rules, not copies of a state chart:

Ohio Medicaid and CHIP monthly income limits by household size (2026 poverty guidelines)
Program and group% FPL123456
Ohio Medicaid Group VIII (adult extension)
Adult 19–64; incl. 5% disregard; not re-verified for 2026		138%$1,836$2,489$3,142$3,795$4,449$5,102
Ohio Medicaid (parent or caretaker relative)
Parent or caretaker of a child under 19; incl. 5% disregard		95%$1,264$1,714$2,163$2,613$3,063$3,512
Ohio Medicaid Group VIII (adult extension)
Parent or caretaker of a child under 19; incl. 5% disregard; not re-verified for 2026		138%$1,836$2,489$3,142$3,795$4,449$5,102
Ohio Medicaid (pregnant)
Pregnant; incl. 5% disregard		205%$2,727$3,697$4,668$5,638$6,608$7,579
Ohio Medicaid children (Healthy Start)
Child under 1; incl. 5% disregard		211%$2,807$3,806$4,804$5,803$6,802$7,800
Ohio Medicaid children
Child 1–5; incl. 5% disregard		211%$2,807$3,806$4,804$5,803$6,802$7,800
Ohio Medicaid children
Child 6–18; incl. 5% disregard		211%$2,807$3,806$4,804$5,803$6,802$7,800
Medicaid for the aged, blind or disabled
65 or older, blind or disabled; SSI benefit rate, single / couple, asset test applies		fixed $$994$1,491$1,491$1,491$1,491$1,491

Each rule’s source and status:

  • Parents and caretaker relatives: 90% of poverty, rule 5160:1-4-05, effective October 6, 2025.[3]
  • Pregnancy: 200%, rule 5160:1-4-04, effective March 1, 2024.[4]
  • Children: 206%, rule 5160:1-4-02, effective June 1, 2026.[5]
  • Adults 19–64 (Group VIII): 133%, from Medicaid.gov’s table with data as of December 1, 2023. Ohio’s adult-group rule was not located, so this row is marked “not re-verified for 2026”.[6]

How Ohio applies the 5% disregard

Ohio’s rules print the percentages without the disregard, and a separate rule subtracts an amount equal to 5% of the poverty level for the family size from household income before the comparison.[2] Subtracting 5% of poverty from income has the same effect as adding five points to the limit, so 206% works like 211%, 200% like 205% and 90% like 95%.

Example: a family of three with $4,500 a month and a child aged 10. The children’s limit after the disregard is $4,804 for three people, so the child is under it and the checker shows a match.[5][2] The parents, at the same income, are far above the parent line of $2,163.

Children and pregnancy: no separate CHIP in Ohio

Ohio covers children under 19 through Medicaid up to 206% of poverty (211% after the disregard) if they have no other creditable health coverage, and up to 156% if they do.[5] For a family of four the main line is $5,803 a month. Ohio has no separate CHIP: it uses CHIP money to expand Medicaid for children instead, so there is no second tier above these lines.[5][6]

Pregnant women qualify up to 200% of poverty, or 205% with the disregard: $3,697 a month for a household of two and $4,668 for three.[4] Young adults aged 19 and 20 have their own small group, called Ribicoff, at 44% of poverty (about $652 a month for one person after the disregard).[7]

Aged, blind or disabled: the SSI rate and a $2,000 resource limit

For Ohioans who are 65 or older, blind or disabled, the Medicaid income standard equals the current SSI benefit rate.[8] In 2026 that is $994 a month for an individual and $1,491 for a couple.[9] Resources count too: the limit is $2,000 for an individual and $3,000 for a couple.[10] Ohio also runs Medicaid Buy-In for Workers with Disabilities (MBIWD), a separate route for people with disabilities who work.

How to apply for Ohio Medicaid

You apply online at benefits.ohio.gov, where you log in with an OHID account to apply for or manage benefits.[11] For questions about enrollment or coverage, the Ohio Medicaid Consumer Hotline is 1-800-324-8680.[12] Because Ohio’s limits are monthly percentages, bring monthly income figures for everyone in your tax household.

2026–2027 changes for Ohio Medicaid

On the Ohio side, the children’s rule was re-issued with an effective date of June 1, 2026, keeping the 206% and 156% limits, and the MAGI income rule and the Ribicoff rule carry the same date.[5][2][7] The larger changes are federal and apply to Ohio as to every state:

  • October 1, 2026: federal Medicaid funding is limited to citizens, green-card holders and a few other groups of immigrants.[16]
  • January 1, 2027 at the latest: adults in the expansion group must show 80 hours a month of work, school, community service or a work program, or $580 of monthly income.[13] Parents of a child aged 13 or younger, pregnant people and people who are medically frail are among those exempt.
  • Renewals on or after January 1, 2027: expansion adults renew every six months.[14]
  • Applications from January 1, 2027: retroactive coverage before the application month shrinks to 1 month for expansion adults and 2 months for everyone else.[15]
  • October 1, 2028: expansion adults above 100% of poverty start paying cost sharing, up to $35 per service and no more than 5% of family income; primary care and mental health services are exempt.[15]

We could not confirm Ohio’s own start date for the work requirement or the status of its state work-requirement waiver. The federal deadline of January 1, 2027 is the latest date it can begin.

For food help in the same household, see Ohio food stamps. Compare Ohio with Pennsylvania Medicaid income limits, Virginia Medicaid income limits and Idaho Medicaid income limits, see the national food stamps income limit tables, or run the SNAP calculator.

Frequently asked questions

What is the income limit for Ohio Medicaid for one person?

About $1,836 a month for an adult aged 19 to 64 (138% of poverty with the disregard), a figure not re-verified from an Ohio source for 2026. For someone 65 or older, blind or disabled, it is the SSI rate of $994 with a $2,000 resource limit.

What are the Medicaid income limits Ohio sets for a family of 4?

About $5,803 a month for children, $5,638 for a pregnant woman in a household of four, $2,613 for parents under the parent rule and $3,795 for expansion adults, all after the 5% disregard.

Does Ohio have CHIP?

Not as a separate program. Ohio uses CHIP funds to cover children through Medicaid up to 206% of poverty ($4,804 a month for a family of three after the disregard).

Is there an asset limit for Ohio Medicaid?

For people who are 65 or older, blind or disabled, yes: $2,000 for an individual and $3,000 for a couple.

Sources

  1. 2026 Poverty Guidelines for the 48 contiguous states, Alaska and Hawaii · U.S. Department of Health and Human Services, ASPE, January 2026
  2. Ohio Administrative Code 5160:1-4-01, Medicaid: MAGI household and income · State of Ohio (Ohio Department of Medicaid rule), effective June 1, 2026
  3. Ohio Administrative Code 5160:1-4-05, Medicaid: parent or caretaker relative · State of Ohio (Ohio Department of Medicaid rule), effective October 6, 2025
  4. Ohio Administrative Code 5160:1-4-04, Medicaid: pregnant individuals · State of Ohio (Ohio Department of Medicaid rule), effective March 1, 2024
  5. Ohio Administrative Code 5160:1-4-02, Medicaid: children (Healthy Start) · State of Ohio (Ohio Department of Medicaid rule), effective June 1, 2026
  6. Medicaid, Children’s Health Insurance Program and Basic Health Program Eligibility Levels (MAGI groups by state) · Centers for Medicare & Medicaid Services (Medicaid.gov), data as of December 1, 2023
  7. Ohio Administrative Code 5160:1-4-03, Medicaid: Ribicoff (age 19 and 20) and former foster care · State of Ohio (Ohio Department of Medicaid rule), effective June 1, 2026
  8. Ohio Administrative Code 5160:1-3-03.5, Medicaid: aged, blind or disabled income standards · State of Ohio (Ohio Department of Medicaid rule), effective June 8, 2025
  9. CMCS Informational Bulletin: Updated 2026 SSI and Spousal Impoverishment Standards · Centers for Medicare & Medicaid Services, April 27, 2026
  10. Ohio Administrative Code 5160:1-3-05.1, Medicaid: aged, blind or disabled resource requirement · State of Ohio (Ohio Department of Medicaid rule), effective April 1, 2022
  11. Ohio Benefits (apply for or access benefits with OHID) · State of Ohio, accessed November 13, 2026
  12. Ohio Department of Medicaid (consumer hotline) · Ohio Department of Medicaid, accessed November 13, 2026
  13. Medicaid Program; Community Engagement Requirement for Certain Individuals (CMS-2454-IFC), implementing P.L. 119-21 § 71119 · Centers for Medicare & Medicaid Services (Federal Register, 91 FR 33348), June 3, 2026; effective July 31, 2026
  14. State Medicaid Director Letter SMD #26-001: eligibility redeterminations every 6 months for expansion adults (P.L. 119-21 § 71107) · Centers for Medicare & Medicaid Services, March 6, 2026
  15. CMCS Informational Bulletin: Medicaid and CHIP provisions of P.L. 119-21 (Working Families Tax Cut legislation) · Centers for Medicare & Medicaid Services, November 18, 2025
  16. State Health Official Letter SHO #26-001: Medicaid and CHIP eligibility of certain immigrants (P.L. 119-21 § 71109) · Centers for Medicare & Medicaid Services, April 8, 2026