Medical assistance to District residents who are not eligible for Medicaid. The Alliance program serves low-income children and provides health coverage to individuals under the age of twenty-one (21) who are not eligible for Medicaid.  Alliance and the Immigrant Children’s program (ICP) program combined into one program called Health Care Alliance for Adults and Children on October 1, 2026.  

To be eligible for Health Care Alliance for Children, you must be a resident of the District of Columbia, 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 category, if you: 

• Aged 20 years old and under; 
• District resident; 
• Have income at or below 319% of the federal poverty level (“FPL”) if age 0-18 or have income at or below 216% of the federal poverty level (“FPL”) if age19-20; 
• Not eligible for Medicaid; 
• There is no resource test. 

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