Medicaid in District of Columbia
Looking for Medicaid eligibility in District of Columbia? Here is how this coverage lane works specifically for District of Columbia residents, what it costs, and how to get it.
District of Columbia expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.
Medicaid in District of Columbia provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.
If you do not qualify for Medicaid in District of Columbia, a subsidized Marketplace plan through DC Health Link is usually the next best option.
District of Columbia expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.
Medicaid rules in District of Columbia still depend on household size, income, and category (for example pregnancy or disability). An application through DC Health Link or the state Medicaid agency is the reliable way to confirm.
Given District of Columbia's approximate 3.0% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.
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Frequently asked questions
- Who qualifies for Medicaid in District of Columbia?
- Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
- Can I apply for Medicaid any time in District of Columbia?
- Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
- Did District of Columbia expand Medicaid?
- Yes. District of Columbia adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.
Sources
- Medicaid.gov — federal Medicaid program information · reviewed 2026-01-15
- KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15