Colorado Primary Pathways to Medicaid Eligibility for Dual-Eligible Individuals
How Medicare beneficiaries become eligible for Medicaid
Summary of Eligibility Pathways
State Adoption and Enrollment Through Key Medicaid Eligibility Pathways for Medicare Beneficiaries
Adoption of enrollment pathways is as of March 2025, except for Florida, which reflects the state’s response to KFF’s 2022 survey and supplemental research. NSD indicates not sufficient data (cells representing fewer than 50 enrollees). Totals may not equal 100% due to data suppression and rounding.
See Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025 for more details on how pathways are defined.
Distribution of Dual-Eligible Individuals by Mandatory and Optional Medicaid Eligibility Pathways, 2021
See Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025 for details on how pathways are defined. Totals may not equal 100% due to data suppression and rounding.
Eligibility Limits for Medicare Savings Programs, 2025
* indicates that the limits in a state are higher than the federal limits.
See Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025 for more details.
Distribution of Dual-Eligible Individuals by Enrollment in Medicare Savings Programs, 2021
Categories with no enrollment or insufficient data will not appear in the figure. Qualified Disabled Working Individuals (QDWIs) and Qualifying Individuals (QIs) are combined for privacy reasons. Totals may not equal 100% due to data suppression and rounding.
Medicare Savings Program categories are mutually exclusive and reflect enrollment in March. Full-benefit dual-eligible individuals are categorized as enrolled in QMB Plus, enrolled in SLMB Plus, or not enrolled in an MSP. Partial-benefit dual-eligible individuals are categorized as enrolled in QMB only, enrolled in SLMB only, enrolled in QI or QDWI, or not enrolled in an MSP.
This work was supported in part by Arnold Ventures. KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities.