Medicaid eligibility in Utah — income limits for 2025
The number
Utah Medicaid covers pregnant women up to 144% of the federal poverty line — $37,180 annual income for a family of three in 2025.
Income limits in dollars (2025)
| Category | % FPL | Household of 1 | Household of 3 | Household of 4 |
|---|---|---|---|---|
| Pregnant women | 144% | $21,690 | $37,180 | $44,930 |
| Children 0-5 | 144% | $21,690 | $37,180 | $44,930 |
| Children 6-18 | 138% | $20,780 | $35,630 | $43,060 |
| Parents / caretakers | 60% | $9,040 | $15,490 | $18,720 |
| Expansion adults (19-64) | 138% | $20,780 | $35,630 | $43,060 |
Who qualifies and how the income limits work
Utah Medicaid uses modified adjusted gross income (MAGI) rules to test eligibility. For 2025, the thresholds for a three-person household are: pregnant women up to 144% of the federal poverty line ($37,180), children 0-5 up to 144% ($37,180), children 6-18 up to 138% ($35,630), and parents / caretaker relatives with dependents up to 60% ($15,490).
Adults 19-64 who don't fit another category qualify under Medicaid expansion up to 138% of the federal poverty line — $35,630 for a family of three. The state adopted expansion in 2020, so there is no coverage gap between the parent ceiling and ACA marketplace subsidies.
Citizenship / immigration status: US citizens and most lawfully present immigrants (with a 5-year waiting period for most categories under PRWORA) qualify if they meet the income test. Pregnant women and children may qualify in narrower circumstances under the CHIPRA 2009 state option. Assets test: no assets / resources test for MAGI-category applicants; a test applies for long-term care and non-MAGI applicants.
Utah voters adopted expansion through Proposition 3 in November 2018 with 53% of the vote. The legislature narrowed coverage in the 2019 session; full ACA expansion took effect January 2020 after CMS rejected the narrower plan. Utah Health Policy Project led the expansion campaign.
For Black families
Expansion in Utah extended Medicaid to adults up to 138% of the federal poverty line regardless of parental status, removing one of the biggest barriers to coverage for Black adults in physically demanding hourly-wage work. Utah voters adopted expansion through Proposition 3 in November 2018 with 53% of the vote. The legislature narrowed coverage in the 2019 session; full ACA expansion took effect January 2020 after CMS rejected the narrower plan. Utah Health Policy Project led the expansion campaign.
Where to get help in Utah
- Federally Qualified Health Centers in Utah: every FQHC accepts Medicaid, charges on a sliding scale for the uninsured, and has certified application counselors who can help you apply or renew. See our FQHC directory for this state at /clinics/ut/.
- Medicaid-accepting providers in Utah: our provider directory lets you filter to providers in this state. See /providers/ut/.
- State health profile for Utah: for state-level health outcomes context (maternal mortality, infant mortality, life expectancy, uninsured rate) by race, see /health/utah/.
- Utah Medicaid consumer help line: 1-866-435-7414 for application help, renewal questions, and general Medicaid inquiries. Ask for an interpreter if you need one; language access is required under Title VI of the Civil Rights Act.
References & primary sources
- Utah Medicaid, state Medicaid portal: https://medicaid.utah.gov/.
- KFF State Health Facts: kff.org/statedata. Medicaid income eligibility + enrollment.
- Medicaid.gov: medicaid.gov. Federal program guidance + state plan amendments.
- HHS 2025 Poverty Guidelines (Federal Register Jan 2025): aspe.hhs.gov/poverty-guidelines.
Data refreshed: