Medicaid for pregnancy and children

Pregnant people and children can qualify at higher incomes than others aged 19–64 in every state, so it's worth checking even if a parent in your home wouldn't qualify.

Pregnancy coverage

Medicaid covers prenatal visits, delivery and postpartum care. Nearly all states provide coverage for 12 months after birth. Count yourself plus each expected baby in your household size. Some states offer doula and home visiting services.

Children and CHIP

Medicaid and CHIP cover children under 19. Many states set different limits by age, and a separate CHIP program can add a small premium. Published levels are on our income limits page.

EPSDT

Children on Medicaid under 21 have EPSDT, which covers screenings and medically necessary treatment, including vision, dental and hearing care. Read about communication devices and eyeglasses.

Newborns

A baby born to a mother on Medicaid is generally deemed eligible for the first year. Tell the agency about the birth promptly.

Other help for families

Medicaid generally meets the income test for WIC. See also diapers, car seats and baby items. Check your eligibility.

Signing up while pregnant

Apply as soon as you know you're pregnant. Many states offer presumptive eligibility, which can start temporary coverage quickly through a clinic. Tell the agency your due date and how many babies you expect.

What pregnancy coverage includes

• Prenatal visits, tests and vitamins by prescription
• Labor and delivery
• Postpartum visits and mental health care
• Many plans offer extras, so check your handbook

What children's coverage includes

• Well-child checkups and vaccines
• Dental, vision and hearing care
• Mental health care
• Treatment found necessary through EPSDT, even if not otherwise in the state plan

Who applies

A parent or caretaker can apply for a child even if they don't qualify themselves. Non-citizen parents can apply for citizen children and don't have to give their own immigration status.