The 24th annual survey of state Medicaid and CHIP program officials conducted by KFF and the Georgetown University Center for Children and Families in January 2026 presents a snapshot of policies in place as states return to routine operations following the unwinding of the continuous enrollment provision. These indicators provide a baseline of state policies as of January 2026.
Eligibility, Enrollment, and Renewal Policies
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EPSDT in Separate CHIP
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Adoption or Continuation of Optional Renewal Strategies Used During Unwinding
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Processes to Suspend and Reinstate Medicaid Coverage for Incarcerated Adults
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Medicaid Systems and Online Tools
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Premiums and Cost Sharing
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Premiums and Enrollment Fees for Children
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Cost Sharing Requirements for Selected Services for Section 1931 Parents
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Cost Sharing Requirements for Selected Services for ACA Adults or Waiver Expansion Adults
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Current Eligibility and Income Limits
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Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the FPL
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Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
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Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
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Medicaid/CHIP Coverage of Lawfully-Residing Immigrant Children and Pregnant Women
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Eligibility Trends
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Medicaid Income Eligibility Limits for Infants Ages 0 – 1, 2000-2026
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Medicaid Income Eligibility Limits for Children Ages 1 – 5, 2000-2026
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Medicaid Income Eligibility Limits for Children Ages 6 – 18, 2000-2026
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Medicaid/CHIP Upper Income Eligibility Limits for Children, 2000-2026
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Separate Children’s Health Insurance Program (CHIP) Income Eligibility Limits for Children, 2000-2026
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Medicaid and CHIP Income Eligibility Limits for Pregnant Women, 2003-2026
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Medicaid Income Eligibility Limits for Parents, 2002-2026
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Medicaid Income Eligibility Limits for Other Adults, 2011-2026
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