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Pregnant Individual

Pregnant Woman looking at a scan

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 Eligibility 

 

  • Pregnant or have been pregnant in the last 60 days; 

  • District Resident; 

  • Meet income requirements; 

  • Not eligible for Medicaid or Medicare 

 

 

  • Pregnant or have been pregnant in the last 60 days; 

  • District Resident; 

  • Meet income requirements; 

  • Are US citizens or have eligible immigration status 

 

 

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

Category 

Pregnant Individual 

Threshold in FPL 

319% + 5% disregard 

2 person household, monthly 

$5,843  

3 person household, monthly 

$7,377  

4 person household, monthly 

$8,910  

5 person household, monthly 

$10,444  

6 person household, monthly 

$11,978  

7 person household, monthly 

$13,511  

8 person household, monthly 

$15,045  

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 

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