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Medicaid & Michigan

Michigan offers Medicaid health insurance coverage for the disabled and elderly as well as pregnant women, children and childless adults. To qualify for Medicaid, applicants must meet the program's residency and income eligibility guidelines. The state uses current federal poverty levels for income eligibility guidelines. The federal poverty level is an income limit the government uses to determine eligibility for public assistance programs such as Medicaid.

  1. Residency Requirements

    • To receive Michigan Medicaid benefits, the applicant must be a Michigan resident. This means that the applicant lives in Michigan and intends on staying in the state indefinitely. Applicants must also typically be U.S. citizens, resident aliens or nationals. Non-citizens can still receive Michigan Medicaid if they can provide documents from the U.S. Bureau of Citizenship and Immigration Services that they are currently in the process of applying for a permanent resident card or U.S. Citizenship.

    Adult and Children Income Guidelines

    • The income limits for pregnant women and families with children under the age of 1 is 185 percent of the current federal poverty level. The income limit for families with children ages 1 to 19 is 150 percent of the federal poverty level. Parents with children on Medicaid qualify if their income is 64 percent of the federal poverty level.

      Childless adults may qualify for Medicaid in Michigan if their income is 35 percent of the federal poverty level through the Adult Benefit Waiver program.

    Elderly and Disabled Income Guidelines

    • The Michigan Medicaid income limits for the elderly and disabled use monthly income limits along with the federal poverty level. Elderly and disabled individuals may qualify for Medicaid if their income is 100 percent of the federal poverty level and their income does not exceed $903 per month per individual and $1,215 per couple. Individuals in this category must not have assets that exceed $2,000 for an individual and $3,000 per couple in order to qualify for Medicaid.

    Coverage

    • Michigan Medicaid covers a wide range of medically necessary health care needs including, but not limited to, regular health check ups, dental, chiropractic, prescriptions, lab work, X-rays, immunizations, physical therapy, occupational therapy, prenatal care, family planning services, medically necessary surgeries and optical services. Medicaid also covers substance abuse and mental health programs. Services covered by Medicaid are subject to change and enrollees should always check with their health care provider before a doctor performs any procedures or examinations.

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