Am I eligible for Medicaid in Utah?
What are the income and residency requirements to qualify for Medicaid in Utah?
To qualify for Medicaid in Utah, individuals and families must meet certain income and residency requirements. These requirements ensure that Medicaid benefits are provided to those who are residents of Utah and meet specific financial eligibility criteria based on their household income.
1. Income Requirements for Utah Medicaid
The income limits for Utah Medicaid are based on the Federal Poverty Level (FPL) and vary depending on factors such as household size and the category of Medicaid for which you are applying. Medicaid covers several groups, including children, pregnant women, parents, and adults without dependent children, and each group has different income limits.
A. Income Limits by Medicaid Group
Here are some common Medicaid categories and their corresponding income limits based on a percentage of the FPL:
Children (CHIP and Medicaid): Up to 200% of the FPL.
Pregnant Women: Up to 138% of the FPL.
Parents/Caretakers: Up to 60% of the FPL.
Adults without dependent children: Up to 138% of the FPL (with Medicaid expansion).
B. Household Size and Income
Your eligibility for Medicaid in Utah is determined by your household size and your gross monthly income. Household size includes anyone living in your household who is financially dependent on you, including children and dependents. The larger your household, the higher the income limit will be.
For example, for a household size of two, the FPL for Medicaid eligibility would be different than for a household of four. It’s important to calculate your household income accurately to determine eligibility.
2. Residency Requirements for Utah Medicaid
In addition to income, you must meet the following residency requirements to qualify for Utah Medicaid:
A. Utah Residency
You must be a resident of Utah. This means you live in Utah and intend to remain in the state. You will need to provide proof of your Utah address during the application process.
Acceptable proof of residency includes utility bills, rental agreements, or other documentation that verifies your current Utah address.
B. Citizenship and Immigration Status
You must be a U.S. citizen or a qualified non-citizen to be eligible for Medicaid in Utah. Qualified non-citizens may include lawful permanent residents (green card holders) and other immigration statuses as determined by federal and state law.
Non-citizens who are not eligible for full Medicaid benefits may qualify for emergency Medicaid services if they meet the other income and residency requirements.
3. How to Check Your Eligibility
If you are unsure whether you meet the income or residency requirements for Utah Medicaid, you can:
Use Utah’s Medicaid eligibility calculator on the Medicaid website to see if you qualify based on your household size and income.
Submit an application to Utah Medicaid, which will assess your eligibility based on your income, residency, and other factors.
Key Takeaways:
Income limits for Utah Medicaid vary based on household size and the category of Medicaid, with eligibility thresholds set as a percentage of the Federal Poverty Level (FPL).
You must be a Utah resident and a U.S. citizen or qualified non-citizen to qualify for Medicaid in the state.
If you meet the income and residency requirements, you can apply for Medicaid to receive comprehensive healthcare coverage.
For help determining if you meet the income and residency requirements for Utah Medicaid, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.
