The eligibility for Medicaid can change based on what factor?

Eligibility for Medicaid is primarily determined by income levels. Each state has its own income thresholds that are adjusted annually, which means individuals and families must meet specific income requirements to qualify for Medicaid coverage. If a person’s income fluctuates—due to a job loss, a raise, or other financial changes—they may become ineligible or eligible for Medicaid.

While age, employment status, and geographic location can influence the specific Medicaid program for which someone might qualify, income is the fundamental criterion that states use to assess eligibility. Other aspects, like whether the individual is pregnant, disabled, or a parent, may also play a role in Medicaid eligibility, but income remains the key determining factor across the board.