How to Apply for Medicaid

Before you start the application process for Medicaid, it is crucial that you understand what steps you will be required to take when applying.

You must understand where you can apply, the information you need to provide on the application and much more. Although the exact requirements vary from state to state, there are general aspects of the Medicaid application that apply everywhere.

It is important that you understand where you can obtain an application form and submit it. Certain states offer the ability to complete an application online, although other states may require other methods to be used.

You can learn more about the specific requirements in your state of residence with these helpful tips. The better you understand how the application process works, the sooner you can apply and begin receiving your benefits. For more information, read the sections below.

How Do I Get Medicaid?

You must be eligible to receive Medicaid benefits in the United States. This includes meeting a variety of requirements, including being a United States citizen (or holding certain lawful status in the U.S.), and meeting certain financial eligibility criteria as well. Also, your family size and pregnancy or parenting status are considered as well.

You must be able to complete the paperwork needed in order to have your application reviewed. When you fill out the application for Medicaid form, there will be information in each section that can help you understand all of the eligibility factors.

The application will ask for personal information including your family size, income and more. Ensure that you provide entirely accurate information, as doing otherwise constitutes fraud. Applying for Medicaid also includes being able to provide documentation to support the information provided on the application form.

The supporting documentation is necessary in order to prove your eligibility. This may include birth certificates, proof of identity documents, Social Security cards, pay stubs and more.

Note: In most states, you can check your Medicaid application status after you file your paperwork by following the instructions provided by the Medicaid agency in your area.

Where Do I Apply for Medicaid?

In most situations, you can apply for Medicaid by submitting an application online through the Healthcare.gov Marketplace website. After you submit all of your information online, wait to be contacted by the Medicaid agency in your state regarding any supporting documentation or additional information needed.

Depending on your state, there may be additional methods available for applying for Medicaid as well. Contact your state Medicaid agency directly to inquire about applying through their website, or to see if in person or over the phone options exist.

You may also be able to request a physical application form that can be filled out by hand. In some states, you can print this form or visit an office to collect one in person.

You can use the Healthplace.gov Marketplace website to check your eligibility before you decide to enroll in Medicaid coverage. This can be done by entering in your family size and your state of residence.

Some states operate their own marketplace for health coverage, so if that is the case, you will be redirected to the state site instead of the federal Marketplace. You may then be prompted to provide your income, and you will then be able to learn more about whether you are eligible.

How do I fill out the Medicaid application form?

The application form for Medicaid coverage must be filled out completely and accurately. The form requires you to supply a variety of information about your situation in order to prove whether you are eligible for assistance.

There are a few different sections that will be included in any state’s application, and it is important that you gather all of the necessary information and documentation before you begin.

Household Size

Your household size is a very important factor when considering if you and your family is eligible. The number must include you as the mail tax filer, your spouse and any tax dependents who live with you.

It is essential that you include everyone who lives with you in order for your household income total to be calculated. Each individual must have documentation provided including birth certificates, Social Security numbers, driver’s licenses, or other documents.

Household Income

Whether or not your family is eligible for Medicaid assistance is primarily determined by your financial eligibility. Your Modified Adjusted Gross Income (MAGI) is used for Medicaid applications. You may be able to find this information on these tax return forms in the following locations:

  • Form 1040, line 37
  • Form 1040 A, line 21
  • Form 1040 EZ, line 4

Or, if you do not have a tax return form, you can find the calculations through other methods. First, you must find your income, which can be found on your current pay stubs.

Find the information about your federal taxable wages or your gross income before taxes are taken out, and then subtract any amount that goes towards health coverage, child care or retirement savings. Ensure that you calculate the income from each employed member of your household.

You must then multiply those federal taxable wages found on your paycheck by the number of paychecks you expect to receive during the tax year. Ensure that you make any necessary adjustments if you anticipate that your income will change due to expected pay raises or cuts, getting a new job, changes to your work hours and more.

Next, add in other forms of tax-exempt income including foreign income, Social Security benefits, interest and more, if applicable. The final estimate can be used to determine if you qualify for Medicaid benefits.

Family Status

If you are pregnant or the parent of a child 18 years of age or younger, that must also be included in your application. It is necessary to provide birth certificates for any of your children as a form of supporting documentation.

Residency and Citizenship

You must also provide proof of your U.S. citizenship status or your lawful immigration status when you apply. In addition, the application will require you to provide proof of your current residential address as well. Supporting documentation may include a U.S. passport, legal permanent residency card, birth certificate and/or state ID.

Disability Status

If you or anyone in your household has a disability, that must be included in the application as well. Provide documentation from a medical professional in order to support that claim. The disability status of you or your family member will have a big impact on your eligibility and benefits.