Income Requirements for Medicaid for Pregnant Women
Pregnant women with limited resources, and particularly those without health insurance, should consider applying for pregnancy Medicaid. In order to qualify, women must meet certain income eligibility requirements based on total income, resources, financial need and the number of people in their household. Depending on the individual, Medicaid may cover all or a portion of the costs associated with prenatal care, pregnancy and childbirth.-
Income
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Medicaid eligibility is determined by a set of federally established guidelines, but states have the authority to set their own specific requirements as well. Income eligibility for pregnancy Medicaid is determined by the number of people residing in a particular household compared to the total household income from all sources. Each state has its own set of income guidelines based on these criteria.
Need
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Women who meet the income guidelines at the state and federal level may qualify for full Medicaid coverage for all pregnancy related expenses, or for partial assistance, depending on their income. Pregnant women with a total income at or below 133 percent of the federal poverty level (depending on the numbers for their particular state) qualify as categorically needy. Pregnant women who do not qualify based on income may qualify as medically needy under the federal expanded eligibility guidelines for pregnant women and children.
Other Information
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In order to apply for pregnancy Medicaid you must make an appointment with your local DSHS office and bring the following documents with you: proof of citizenship, (birth certificate or Social Security card) or proof of non-citizenship, a statement from a doctor certifying that you are pregnant and proof of income (pay stubs or tax returns, for instance). Ask your local DSHS office for specific information about which documents are needed before arriving for your appointment.
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