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Learn about important changes to the Alliance/ICP Program effective October 1, 2025. Visit dhcf.dc.gov/alliance-program-changes for information.

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Pregnant Individual

Four pregnant women

District of Columbia Medicaid provides two types of medical coverage to pregnant individuals with income up to 319% of the federal poverty level (FPL). CHIP From Conception to End of Pregnancy (previously known as Unborn Child) and Medicaid for pregnant individuals  provides comprehensive coverage, including care related  to the pregnancy, labor, and delivery and any  complications that may occur during pregnancy, as well as post-partum care which begins  on the date the pregnancy ends. A pregnant individual may apply for CHIP From Conception to End of Pregnancy or Medicaid coverage before or after they deliver.   

CHIP From Conception to End of Pregnancy offers an additional two (2) months post partum care, and Medicaid offers an additional twelve (12) months of post-partum care.   Once the birth is reported, your child will automatically enroll in Medicaid until their first birthday.  

                                                                                      Who is Eligible?  

CHIP From Conception to End of   
Pregnancy

Medicaid

  • Are Pregnant or have been pregnant in the last 60 days;  
  • Are A District Resident;  
  • Meet income requirements;  
  • Not eligible for Medicaid or Medicare  
  • Are Pregnant or have been  pregnant in the last 60 days;  
  • Are A District Resident;  
  • Meet income requirements;  
  • Are US citizens or have eligible immigration status  

The District covers this population with household income up to 319 % of the Federal Poverty Level

 

Category

Pregnant Individual

Threshold in FPL

319% + 5% disregard

2 person household, monthly

$5,712

3 person household, monthly

$7,196

4 person household, monthly

$8,683

5 person household, monthly

$10,167

6 person household, monthly

$11,651 

7 person household, monthly

$13,138 

8 person household, monthly

$14,622

Figures compiled using 2025 FPL numbers as of January 15, 2025 distributed by the U.S. Department of Health and Human Services. *5% income disregard included.  


 

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