District of Columbia Medicaid covers adults without dependent children (childless adults) between the ages of twenty-one (21) and sixty-four (64). To be eligible for Medicaid as a Childless adult, you must be a District resident with a household income that does not exceed 138% (new as of 1/1/2026) of the Federal Poverty Level (FPL).  

Who is Eligible? 

You may be eligible for Medicaid in the District under the Adults without Dependent Children category, if you: 

• Are ages twenty-one (21) through sixty-four (64); 

• Are a District resident; 

• Are not disabled; 

• Are not pregnant; 

• Are not eligible for or enrolled in Medicare; 

• Are US citizens or have eligible immigration status; 

• Meet income requirements; and 

• Are not caring for dependent children under the eighteen (18) or eighteen (18) and a full time student 

• There is no resource limit for this group.  

The District covers this group with household income up to 138% of the Federal Poverty Level 

Category	Adults Without Dependent Children  (Childless Adults)
Threshold in FPL	133% + 5% disregard*
1 person household, monthly	$1,836
2 person household, monthly	$2,489
3 person household, monthly	$3,142
4 person household, monthly	$3,795
5 person household, monthly	$4,449
6 person household, monthly	$5,102
7 person household, monthly	$5,755
8 person household, monthly	$6,408

Figures compiled using 2026 FPL numbers as of January 16, 2026 distributed by the U.S. Department of Health and Human Services.  * 5% income disregard is included 

 

Are you a childless adult who has Medicare? 

If you are a childless adult receiving Medicaid and you become eligible for or enrolled in Medicare, you must report this change immediately. The childless adult Medicaid group is generally not for those who are eligible for Medicare, reporting this change allows the state to re-evaluate your eligibility for Dual Eligibility in another Medicaid Program or a Qualified Medicare Beneficiary (QMB) Program to ensure your coverage continues without interruption.   

For more information on the Qualified Medicare Beneficiary program click here. 

For more information about supplemental Medicare health insurance options click here. 

If you need to apply for other benefits, report a change or submit a renewal form, click here.