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Medicare and health costs

DC Medicaid in District of Columbia

DC Medicaid covers people 65 and older under its aged, blind and disabled group and can pay health costs Medicare doesn't.

Checked

From the DC Department of Health Care Finance (DHCF)
An older woman in her kitchen reads a letter from the day's mail

You may qualify with income up to the poverty level and savings under $4,000 for one person, which is higher than many states allow. Your home, a car, furnishings, clothing and jewelry don't count toward that limit.

How to apply in District of Columbia

By phone
202-727-5355
In person
At a DC Department of Human Services Service Center, where you can drop off or pick up an application.
By mail
Fax the Integrated Application for Public Assistance Benefits to 202-671-4400, or drop it off at a Service Center.

Applying is free. Nobody should charge you to apply.

Apply on the official site

Who may qualify in District of Columbia

Who may qualify for DC Medicaid
One personMarried couple
Income limit (2026)$1,330 a month (100% of the poverty level)$1,804 a month (100% of the poverty level)

Source: DC Department of Health Care Finance (source 1)

Savings limit, one person$4,000

Source: DC Department of Health Care Finance (source 1)

Spend-down if your income is over the limitYes: DC has a medically needy (spend-down) path for older adults whose income is over the limit

Source: KFF (source 3)

Medicaid for adults under 65 (expansion)Yes: DC expanded Medicaid to low-income adults under 65

Source: KFF (source 4)

How District of Columbia is different

Where District of Columbia's rules differ from the federal rules for Medicaid for people with Medicare.

  • Higher income limit: 100% of the poverty level
  • Higher savings limit: $4,000 for one person

Source: DC Department of Health Care Finance (source 1)

Good to know

  • Your primary home, a car, home furnishings, clothing and jewelry are not counted toward the $4,000 savings limit.
  • If you are blind or disabled rather than 65 or older, you need a disability decision from Social Security or an evaluation by a doctor.

Source: DC Department of Health Care Finance (source 1)

Free help

Free help with this in District of Columbia

More help in District of Columbia

Medicaid for older adults in another state

Sources

  1. DC Department of Health Care Finance, Aged, Blind and Disabled (ABD) Individuals (official government site). Checked Oct 28, 2026.
  2. DC Department of Human Services, Public Benefits (official government site). Checked Oct 28, 2026.
  3. KFF, Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2026. Checked Oct 28, 2026.
  4. KFF, Status of State Medicaid Expansion Decisions. Checked Oct 28, 2026.

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