District of Columbia Medicaid

The DC Medicaid program furnishes medical assistance to eligible District of Columbia low-income families and to eligible aged, blind, and/or disabled people whose income is insufficient to meet the cost of necessary medical services.

Eligibility Requirements

To be eligible for District of Columbia Medicaid, you must be a resident of Washington, D.C., a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

• Pregnant
• Be responsible for a child 18 years of age or younger
• Blind
• Have a disability or a family member in your household with a disability
• Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Copayments

There are no copays for beneficiaries enrolled in Medicaid Managed Care. For individuals enrolled in FFS Medicaid, there may be a $1.00 copay for prescriptions and a $2.00 copay for eyeglasses.