DC Health Care Alliance for Adults (“Alliance”) Program is a locally funded program designed to provide medical assistance to District residents who are not eligible for Medicaid. The Alliance program serves low-income adults who have no other health insurance and are not eligible for Medicare.  Alliance and the Immigrant Children’s program (ICP) program combined into one program called Health Care Alliance for Adults (21+) and Children (20 and under).

To be eligible for Health Care Alliance for adults, you must be a resident of the District of Columbia, 21 years of age or older, meet financial eligibility requirements, and not have any other health or medical health coverage.

Who is Eligible?

You may be eligible for health insurance in the District under the Alliance for adult’s category, if you are:

• 21 years of age and older;
• District resident;
• Have income at or below 138% of the federal poverty level (“FPL”);
• Have no other health insurance, including Medicare.

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

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.

The delivery of services changed from Managed Care Organization to Fee-for-Service (FFS).  If you need help finding an FFS health care provider click here https://medicaid.dc.gov/.