Important Health Care Alliance Updates!
Beginning October 1, 2025,
- Alliance and the Immigrant Children’s program (ICP) will be combined into one program called Health Care Alliance for Adults and Children.
- No new enrollments in for individuals 26 and older in the program.
- Income limits for adults are currently at or below 210% FPL until 9/30/2025.
- Income limits for adults will decrease from 210% to 133% of FPL starting 10/1/2025.
- Delivery of services changes from Managed Care Organization to Fee-for-Service (FFS). If you need help finding an FFS health care provider click here https://www.dc-medicaid.com/dcwebportal/nonsecure/searchprov.
What is Health Care Alliance (Adults)?
The Health Care Alliance (“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.
To be eligible for Health Care Alliance, you must be a resident of the District of Columbia, meet financial eligibility requirements, and not have any other health or medical health coverage.
Health Care Alliance (Adults) eligibility starting October 1, 2025:
- Aged 21 to 25;
- District resident;
- Have income at or below 138% of the federal poverty level (“FPL”);
- Have no other health insurance, including Medicare
*There are no age limit for Health Care Alliance applications now through 9/30/2025. New application changes begin 10/1/2025.
Current and Upcoming Household Income Thresholds
| Category | *Current* (Ending 9/30/2025) |
*New* (Starting 10/1/2025) |
|---|---|---|
| Threshold in FPL | 210% + 5% disregard* | 133% + 5% disregard* |
| 1 person household, monthly | $2,806 | $1,800 |
| 2 person household, monthly | $3,790 | $2,432 |
| 3 person household, monthly | $4,775 | $3,065 |
| 4 person household, monthly | $5,762 | $3,697 |
| 5 person household, monthly | $6,747 | $4,330 |
| 6 person household, monthly | $7,731 | $4,962 |
| 7 person household, monthly | $8,718 | $5,595 |
| 8 person household, monthly | $9,703 | $6,227 |
*Figures compiled using 2025 FPL numbers as of January 15, 2025 distributed by the US Department of Health and Human Services (*5% disregard included).
* 5% income disregard is included
