How to Apply for Medicaid

To apply for Medicaid, you need to first understand the type of information you will have to include in your application. The application varies state by state, but there are common categories that must be completed regardless of where you live.

Gathering these details before you, start the application process can help you to complete the paperwork and to begin accessing your benefits. This is why learning about the application process as soon as possible is so important.

Learning how to apply for Medicaid also includes where you can obtain and then submit your application. You might be able to apply for Medicaid online, depending on where you live. Find out all the potential methods and where to get more details for your specific state of residence in the appropriate sections below. You can also find out more about the application form as well as how to check your application status after you submit the forms. Remember that submitting your application does not guarantee you will receive assistance and you should prepare supporting documentation to back up every claim made.

How to Get Medicaid

Medicaid enrollment is open to all qualified U.S. citizens and to certain non-citizens who are lawfully present and hold proper authorization and paperwork. There are other eligibility factors for Medicaid that you must meet in order to apply. The Medicaid application form will walk you through each eligibility factor, asking questions that will determine your qualifications to receive assistance.

Applying for Medicaid means that you meet the basic eligibility requirements, and that you have the supporting documentation to prove that eligibility. If that is the case, then you can create an account online with your state Medicaid agency as appropriate. In all states, Medicaid provides coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

Related Article: Medicaid Eligibility

To check your Medicaid application status after you file your paperwork, follow the instructions provided by your state Medicaid agency. Check your online Medicaid applications by logging into your account on the agency website, while other application methods might require a phone call or you may not be able to contact the agency to follow-up at all.

Where to Apply for Medicaid

You can submit your Medicaid application online by completing the forms on the Marketplace website. If you qualify, then you can submit all of your details right there online and wait to be contacted by your state Medicaid agency for any follow-up questions or supporting documentation needs.

Before you enroll in Medicaid, you can use the website to check your potential eligibility for coverage by entering the number of people in your household and then selecting your state of residence. Note that some states operate their own marketplace for health care coverage, so you will be redirected to that specific site instead of using the main Marketplace. Otherwise, you will see the drop-down menu for income levels that are used in your area. You can select your income bracket and then find out more about your potential coverage options.

Another way to apply for Medicaid is to contact your state Medicaid agency directly. You can find your agency’s contact details on the Marketplace or you can contact any local government office for assistance. If your state has its own marketplace, you will have to create an account online and then submit your details to check your eligibility for assistance.

To apply for Medicaid via paper application, you should contact your state Medicaid agency directly and request a copy. You might be able to download and print an application, to visit an office in person to collect one or you might be able to receive one by mail. Simply contact your state agency for further details.

Medicaid Application Form

The application for Medicaid requires a variety of details that you must supply in order to prove your qualifications for assistance. The following sections will generally be included in any state’s application, so be sure you gather the necessary details and documentation before you start your application.

Income Information

Your Medicaid enrollment will be primarily based upon your total household income. To estimate your Modified Adjusted Gross Income (MAGI) for your Medicaid application, start by finding your AGI on one of the following tax return forms:

  • On Form 1040, your AGI is Line 37
  • On Form 1040 EZ, your AGI is Line 4
  • On Form 1040 A, your AGI is Line 21

If you do not have a tax return to use for your Medicaid application, you can use your current pay stubs instead. Remember to include the income of each worker in your household. If you have a pay stub, look for the “federal taxable wages” line and start with that amount. If that line is not on your pay stub, then use your gross income before taxes, and then subtract any amount that your employer takes out for health coverage, child care or retirement savings.

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Next, you need to multiply your federal taxable wages by the number of paychecks you expect to receive during this tax year. Remember to make any necessary adjustments if you anticipate your income amounts to change at all during the year. These changes could include any of the following:

  • Any expected raises
  • A new job or change in employment, including changes to your work schedule or number of hours
  • Fluctuations in self-employment income
  • Changes to your income from other sources, such as Social Security, alimony or investments you have
  • Changes in your household, especially gaining or losing dependents

Next, add the following kinds of income, if you have any, to your AGI:

  • Tax-exempt foreign income
  • Tax-exempt Social Security benefits (including tier 1 railroad retirement benefits)
  • Tax-exempt interest

This final estimate can be used for your Medicaid application income details.

Household Size

When applying for Medicaid, your household is considered to be you as the main tax filer, plus your spouse and any tax dependents who live with you. You must include everyone who lives with you in order to calculate your total household income. The identification of each individual will need to be supplied, whether through birth certificates, driver’s licenses, Social Security Numbers (SSNs) or other supporting documentation.

Disability Status

The Medicaid application form also asks about your disability status or the status of anyone in your household. If you are blind or disabled, you should have documentation from a medical professional to support that claim on your application. Your disability status will be a major factor in your receiving of benefits and assistance.

Family Status

Your application for Medicaid will also ask whether you are pregnant or the parent of a child younger than 19 years of age when determining your eligibility. Having birth certificates for your children will be helpful as supporting documentation if necessary.

Residency and Citizenship

Your Medicaid application will ask for proof of your current residential address to be sure you are eligible to apply for assistance in that state. Additionally, you will have to prove your U.S. citizenship status or your lawful immigration status in order to apply. Documentation such as a state-issued driver’s license, a U.S. passport or a birth certificate can help provide this proof if necessary.

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