How Immigration Status Affects Medicaid Eligibility

Access to healthcare is a fundamental right, and understanding the relationship between immigration status and Medicaid is crucial for individuals navigating the U.S. healthcare system. While Medicaid is a valuable program providing healthcare coverage for low-income individuals, eligibility can be affected by immigration status. 

While U.S. citizens and certain eligible immigrants can qualify for Medicaid, undocumented immigrants are generally not eligible for standard Medicaid coverage. On the other hand, undocumented children may be covered by CHIP for health insurance. 

Emergency Medical Care

Emergency medical care is available to all individuals, regardless of immigration status, through Emergency Medicaid. This program covers emergency treatment for severe medical conditions or life-threatening situations, ensuring access to critical care for all individuals in need.

Medicaid for Eligible Immigrants

Certain categories of immigrants may be eligible for Medicaid coverage, such as lawful permanent residents (green card holders), refugees, asylees, and individuals granted withholding of removal. Eligibility criteria may differ based on factors like length of residence and other specific requirements set by each state's Medicaid program.

Children's Health Insurance Program (CHIP)

Undocumented immigrant children may be eligible for healthcare coverage through the Children's Health Insurance Program (CHIP) in some states. CHIP provides access to comprehensive healthcare services for children in low-income families, regardless of their immigration status.

State-Specific Programs

Some states have implemented their own healthcare programs to provide coverage for undocumented immigrants. These programs, often referred to as state-funded or state-only programs, offer healthcare assistance to individuals who do not qualify for Medicaid due to their immigration status. Eligibility criteria and available services vary by state.

For help determining eligibility in your state, click here.

Want to offer Medicaid navigation to your patients?

See how providing your consumers with Fortuna dramatically improves revenue, retention, and experience.