Rhode Island Medicaid Income Limits 2026: Chart by Household Size & Family of 4
Quick answer: most Rhode Island adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels. The chart below lists the Rhode Island Medicaid income requirements and guidelines for 2026 — all effective cutoffs including the 5% MAGI disregard, computed from the official 2026 FPL table (ASPE / Federal Register). State standards are from the CMS national eligibility table, as of 2023-12-01.
Rhode Island Medicaid is the Rhode Island Medicaid program. The 2026 Rhode Island Medicaid income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
Rhode Island Medicaid work requirement 2027: the federal work-requirement deadline for Rhode Island is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the Rhode Island work-requirement page for hours, exemptions and the reporting timeline.
Verification: All figures come from the CMS national eligibility table (2023-12-01 snapshot).
Adults 19-64 (Rhode Island Medicaid expansion group) — 2026 income limits
138% FPL effectiveAdults 19-64 (Rhode Island Medicaid expansion group) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,835 | $2,489 | $3,142 | $3,795 | $4,448 | $5,101 | $5,755 | $6,408 |
Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.
The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
Children 0-18 (Medicaid) — 2026 income limits
266% FPL effectiveChildren 0-18 (Medicaid) income limits 2026: 266% of the federal poverty level — about $3,538/month for a household of 1 and $7,315/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $3,538 | $4,797 | $6,056 | $7,315 | $8,574 | $9,833 | $11,092 | $12,351 |
Base standard 261% FPL + 5% MAGI disregard = 266% effective. Larger households: add roughly $1,259/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP) — 2026 income limits
258% FPL effectiveChildren (separate CHIP) income limits 2026: 258% of the federal poverty level — about $3,431/month for a household of 1 and $7,095/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $3,431 | $4,653 | $5,874 | $7,095 | $8,316 | $9,537 | $10,759 | $11,980 |
Base standard 253% FPL + 5% MAGI disregard = 258% effective. Larger households: add roughly $1,221/month per additional person.
Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the name. Benefits match Medicaid; small copays may apply for some services.
Pregnant women — 2026 income limits
195% FPL effectivePregnant women income limits 2026: 195% of the federal poverty level — about $2,594/month for a household of 1 and $5,363/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,594 | $3,517 | $4,440 | $5,363 | $6,286 | $7,209 | $8,132 | $9,055 |
Base standard 190% FPL + 5% MAGI disregard = 195% effective. Larger households: add roughly $923/month per additional person.
Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.
Parents & caretaker relatives — 2026 income limits
121% FPL effectiveParents & caretaker relatives income limits 2026: 121% of the federal poverty level — about $1,609/month for a household of 1 and $3,328/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,609 | $2,182 | $2,755 | $3,328 | $3,900 | $4,473 | $5,046 | $5,618 |
Base standard 116% FPL + 5% MAGI disregard = 121% effective. Larger households: add roughly $573/month per additional person.
The parents and caretaker relatives category — in an expansion state, parents above this line qualify through the adult expansion group instead.
Rhode Island publishes MAGI standards as a percent of FPL and applies the federal 5-percentage-point income disregard when it makes someone eligible, so each group has a base standard and a slightly higher effective cutoff. The tables below show the effective figures in dollars, computed from the official 2026 federal poverty guidelines.
MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).
Frequently asked questions
What is the Rhode Island Medicaid income limit in 2026?
It depends on the coverage group. most Rhode Island adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.
What is the Rhode Island Medicaid income limit for a family of 2?
Adults 19-64 (Rhode Island Medicaid expansion group) — 138% of the federal poverty level, about $2,489/month for a family of 2 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Rhode Island Medicaid income limit for a family of 3?
Adults 19-64 (Rhode Island Medicaid expansion group) — 138% of the federal poverty level, about $3,142/month for a family of 3 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Rhode Island Medicaid income limit for a family of 4?
Adults 19-64 (Rhode Island Medicaid expansion group) — 138% of the federal poverty level, about $3,795/month for a family of 4 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the Rhode Island Medicaid income limit for a family of 5?
Adults 19-64 (Rhode Island Medicaid expansion group) — 138% of the federal poverty level, about $4,448/month for a family of 5 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What income is too high for Medicaid in Rhode Island?
There is no single number — every coverage group has its own ceiling. In Rhode Island, an adult under 65 qualifies with household income up to $1,835/month for one person (138% FPL). Go above that and the adult group no longer covers you. Children and pregnant women stay covered at much higher levels: children to 266% FPL and pregnant women to 195% FPL.
What is the income limit for Adults 19-64 in Rhode Island?
Adults 19-64 (Rhode Island Medicaid expansion group): 138% of the federal poverty level, about $1,835/month for a household of one. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.
What is the income limit for Children 0-18 in Rhode Island?
Children 0-18 (Medicaid): 266% of the federal poverty level, about $3,538/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in Rhode Island?
Children (separate CHIP): 258% of the federal poverty level, about $3,431/month for a household of one. Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the name. Benefits match Medicaid; small copays may apply for some services.
What is the income limit for Pregnant women in Rhode Island?
Pregnant women: 195% of the federal poverty level, about $2,594/month for a household of one. Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.
What is the income limit for Parents & caretaker relatives in Rhode Island?
Parents & caretaker relatives: 121% of the federal poverty level, about $1,609/month for a household of one. The parents and caretaker relatives category — in an expansion state, parents above this line qualify through the adult expansion group instead.
What are the Rhode Island Medicaid income limits for seniors (65 and older)?
The limits above are MAGI standards for children, pregnant women, parents and adults under 65. People 65 or older (and people with disabilities of any age) qualify under separate non-MAGI categories with their own dollar limits, which can include an asset test. Rhode Island Executive Office of Health and Human Services publishes those figures and makes the final determination.
What are the Rhode Island Medicaid income limits in 2026?
Rhode Island Medicaid is the Rhode Island Medicaid program. Its income limits are the ones on this page: most Rhode Island adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.
Sources
- National Medicaid & CHIP eligibility levels (income standards as of 2023-12-01) — Medicaid.gov (CMS) (accessed 2026-09-20)
- Rhode Island Executive Office of Health and Human Services — Rhode Island Executive Office of Health and Human Services (accessed 2026-09-20)
- 2026 Federal Poverty Guidelines — HHS/ASPE (accessed 2026-09-20)
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Reviewed by Gavin YE, Technical Director, ClearRules Labs.
Page last reviewed 2026-09-21