Medicaid is a health program that helps people with low incomes get medical care. In Louisiana, it covers things like doctor visits, hospital stays, and prescriptions. For many residents, it’s a way to stay healthy when money is tight.
Eligibility depends on your income, how many people live with you, and what group you fit into.
This could be as an adult, a child, or someone with a disability. The 2026 figures give a starting point, but some limits update in January 2026 to match federal changes.
This guide explains eligibility in simple terms. It can help you see if Medicaid might work for you. Remember, everyone’s situation is different, so check with the state for your case.
What Is Louisiana Medicaid?
Louisiana Medicaid provides health coverage to eligible residents. It pays for care that people might not afford on their own. The state runs it with help from the federal government.
Coverage includes medical visits, hospital care, preventive check-ups, and long-term services. It’s there to support people during tough times, like illness or pregnancy.
It serves:
- Low-income adults
- Children and families
- Pregnant women
- Seniors (65+)
- People with disabilities
Louisiana Medicaid Eligibility Overview (2026)
To qualify for Louisiana Medicaid in 2026, your income must be below certain levels.
These levels depend on your group, like if you’re an adult or a child. Household size also matters because larger families get higher limits.
You must live in Louisiana. This means you reside here and plan to stay. Residency is straightforward for most people.
Citizenship or a qualified immigration status is needed. U.S. citizens qualify automatically. Qualified immigrants include those with legal status, like green card holders after five years or refugees.
Louisiana Medicaid Income Limits
Louisiana Medicaid income limits are based on the Federal Poverty Level (FPL). For most adults, the limit is 138% of the FPL.
As of now, Louisiana has not released official Medicaid income limits for 2026, so eligibility at the start of 2026 continues to rely on confirmed 2025 income figures.
Louisiana Medicaid Income Limits by Household Size (2025)
| Household Size | Monthly Income Limit (2025) | Annual Income Limit (2025) |
| 1 | $1,732 | $20,783 |
| 2 | $2,350 | $28,208 |
| 3 | $2,969 | $35,632 |
| 4 | $3,588 | $43,056 |
| 5 | $4,207 | $50,481 |
| 6 | $4,826 | $57,905 |
| 7 | $5,444 | $65,329 |
| 8 | $6,063 | $72,754 |
Short Notice: Louisiana has not yet published official Medicaid income limits for 2026. The state is still using 2025 income limits to determine eligibility. Updated 2026 limits are expected in January 2026, and eligibility rules may change once they are confirmed.
How Household Size Is Calculated in Louisiana
Household size includes you and the people you live with who depend on you. This means your spouse and children under 19. If you file taxes, it’s like your tax family.
Spouses count even if they live apart but are married. Dependent children are those you support more than half the year.
- Special cases: In shared custody, the child counts with the parent who claims them on taxes. Tax dependents like a disabled adult child can add to size.
For example, a couple with one child is size three. If pregnant, add one for the unborn, making four. This raises the income limit.
Medicaid Eligibility by Group in Louisiana
Low-Income Adults
Low-income adults can qualify with income up to 138% FPL. This is for ages 19 to 64. Louisiana expanded Medicaid, so you don’t need kids to join.
The age range is broad. Employment status does not automatically disqualify applicants as long as income fits the limit.
Children and Families
Children and families have higher income thresholds. Kids under 19 qualify up to 214% FPL for Medicaid, and CHIP goes higher.
The role of household size is key. Larger families get more room, helping cover everyone.
Pregnant Women
Pregnant women have expanded eligibility up to 214% FPL. This includes care before and after birth.
Temporary coverage during pregnancy and 12 months postpartum supports new moms. It’s reassuring for families starting out.
Seniors Age 65 and Older
Seniors age 65 and older qualify with income up to SSI level, $967 monthly single. Income requirements are strict.
Introduction to asset considerations: Assets up to $2,000 single, but spend-down lets you subtract bills.
People Who Are Blind or Disabled
People who are blind or disabled use non-MAGI Medicaid. This combines medical and financial eligibility. Income up to $967 monthly single. You need doctor proof of condition.
Long-Term Care Medicaid in Louisiana (2026)
Long-term care Medicaid helps with nursing homes or home services. It’s for those who need daily help with tasks like eating or bathing. Nursing home Medicaid has income up to $2,982 monthly single. Assets $2,000.
Home- and community-based services let you stay home. Programs like Community Choices have similar income rules.
Income rules differ from standard Medicaid. They focus on your needs and resources.
Long-term care Medicaid income and asset limits in Louisiana are typically updated in January 2026 and may differ from regular Medicaid eligibility rules.
What Counts As Income For Louisiana Medicaid?
Income is what you earn or receive regularly. Louisiana uses MAGI for most groups. MAGI is your tax income minus some costs, like child support paid out.
- Wages: Pay from jobs.
- Social Security: Benefits like retirement.
- SSDI: Disability payments.
- Pensions: Funds from past jobs.
- Self-employment income: Profits after business costs.
What Does Not Count As Income?
Some things don’t add to your total.
- SNAP benefits.
- Housing assistance.
- Certain veterans benefits.
- One-time emergency assistance.
How To Apply For Medicaid In Louisiana
Applying is easy with options.
Apply online through the LaGov portal. It’s quick and available anytime.
Apply in person at a local DHHS office. Staff can guide you.
Apply by mail by sending forms to DHHS.
Documents required: ID, income proof, residency bill, SSN, medical notes if needed.
Mention renewals: Renew yearly. Report changes like new jobs right away.
What If You Are Over The Income Limit?
If over the limit, try spend-down. This subtracts medical bills to meet the threshold.
Long-term care pathways have different rules. You might qualify there if needing ongoing help.
Children’s Medicaid or CHIP has higher limits for kids. Families can get coverage that way.
Reapplying after income changes helps. If your pay drops, try again.
Frequently Asked Questions
What is the income limit for Louisiana Medicaid in 2026?
Limits depend on your group: Adults up to $1,805 monthly for one at 138% FPL, kids up to $3,077 for three at 214%.
Will Louisiana Medicaid eligibility change in January 2026?
Yes, FPL updates in January may raise limits. Check DHHS for the latest.
Does household size affect Medicaid eligibility in Louisiana?
Yes, more people mean higher limits. It includes spouses and dependents.
Can seniors qualify with Social Security income in Louisiana Medicaid 2026?
Yes, if total under $967 monthly single and assets low. Spend-down can help.
Are long-term care rules different in 2026?
Yes, income up to $2,982 monthly with asset limits. January updates apply.
Can working adults qualify for Medicaid in Louisiana in 2026?
Yes, if income under 138% FPL. Work doesn’t bar you.
How often does Louisiana update Medicaid income limits?
Yearly, with FPL changes in January. Review before applying.
Key Takeaways
Eligibility depends on income, household size, and category in Louisiana Medicaid. 2026 limits apply now, but January updates matter for accuracy. Long-term care Medicaid has different rules with asset tests. Always verify current limits before applying.
Check official Louisiana Medicaid resources like DHSS site. Apply as soon as eligible. Recheck eligibility after January updates.
