Wyoming Medicaid Income Limits
Updated August 2026
Income limits for Wyoming Medicaid vary by coverage group and household size. Figures below are approximate — verify current thresholds with Wyoming Medicaid directly.
Wyoming has not expanded Medicaid — there is no standard adult coverage group for childless adults
Adults ages 19–64 without dependent children and without a disability have no Wyoming Medicaid pathway regardless of income. The income limits below apply only to the coverage groups Wyoming covers. For current income limit tables, visit health.wyo.gov or call 1-855-294-2127.
Wyoming Medicaid income limits by coverage group (2026)
| Coverage group | FPL threshold | Notes |
|---|---|---|
| Children ages 0–5 (Child MAGI) | 154% FPL | Lower than most expansion states |
| Children ages 6–18 (Child MAGI) | 133% FPL | Does not include 5% MAGI disregard for this group |
| Pregnant women | 154% FPL | 12 months postpartum coverage |
| Kid Care CHIP | Up to 200% FPL | Above Medicaid threshold; must not have other insurance |
| Parents and caretaker relatives (Family Care) | ~40% FPL | $529/mo for a household of 1 (2026); see WDH income requirements page for other household sizes |
| Nursing home/long-term care | 300% of Federal Benefit Rate (FBR) | Separate from MAGI rules; asset test applies |
| Medicare Savings (QMB/SLMB) | 100–135% FPL | Helps low-income Medicare beneficiaries with premiums |
Children ages 0–5 (Child MAGI)
- FPL threshold
- 154% FPL
- Notes
- Lower than most expansion states
Children ages 6–18 (Child MAGI)
- FPL threshold
- 133% FPL
- Notes
- Does not include 5% MAGI disregard for this group
Pregnant women
- FPL threshold
- 154% FPL
- Notes
- 12 months postpartum coverage
Kid Care CHIP
- FPL threshold
- Up to 200% FPL
- Notes
- Above Medicaid threshold; must not have other insurance
Parents and caretaker relatives (Family Care)
- FPL threshold
- ~40% FPL
- Notes
- $529/mo for a household of 1 (2026); see WDH income requirements page for other household sizes
Nursing home/long-term care
- FPL threshold
- 300% of Federal Benefit Rate (FBR)
- Notes
- Separate from MAGI rules; asset test applies
Medicare Savings (QMB/SLMB)
- FPL threshold
- 100–135% FPL
- Notes
- Helps low-income Medicare beneficiaries with premiums
No asset test for MAGI-based coverage; asset test applies to LTC
MAGI-based coverage — children and pregnant women — does not use an asset test. Savings and property are not counted for these groups.
Long-term care Medicaid (nursing home and certain HCBS programs) applies both income and resource limits. The individual resource limit is $2,000. The income limit for institutional care is 300% of the Federal Benefit Rate (FBR). Contact the Long-Term Care Eligibility Unit at 1-855-203-2936 for LTC financial eligibility questions.
Wyoming's income limits compared to expansion states
Wyoming's children's income limits (154% FPL for younger children, 133% for older) are lower than the Medicaid thresholds in most expansion states, which typically cover children at 138–200%+ FPL. Wyoming makes up some of this gap with Kid Care CHIP extending to 200% FPL, but the combined reach of Medicaid plus CHIP for children (200% FPL) is still below what many expansion states provide. For comparison, Vermont covers children up to 312% FPL.
Medicare Savings Programs (QMB) in Wyoming
The income limits table above already lists a "Medicare Savings (QMB/SLMB)" row at 100–135% FPL — that entry refers to the same federal Medicare Savings Programs (MSPs) described here, and it's worth explaining what that coverage actually does for a Wyoming Medicare beneficiary. These programs are administered through Wyoming Medicaid, not Medicare, so applications go through the state, not Social Security or CMS.
| Program | Situation | Monthly income limit |
|---|---|---|
| SLMB | Individual | $1,616 |
| SLMB | Married couple | $2,184 |
| QI | Individual | $1,816 |
| QI | Married couple | $2,455 |
SLMB
- Situation
- Individual
- Monthly income limit
- $1,616
SLMB
- Situation
- Married couple
- Monthly income limit
- $2,184
QI
- Situation
- Individual
- Monthly income limit
- $1,816
QI
- Situation
- Married couple
- Monthly income limit
- $2,455
Qualified Medicare Beneficiary (QMB), the strongest of the tiers referenced in that row, pays the Medicare Part A premium for enrollees who owe one, the full $202.90 monthly Part B premium in 2026, and all Medicare deductibles, coinsurance, and copayments. Federal law flatly prohibits any provider from billing a QMB enrollee for these costs — a protection that applies in Wyoming exactly as it does nationwide, regardless of whether the provider participates in Wyoming Medicaid.
Specified Low-Income Medicare Beneficiary (SLMB), also folded into that same table row, only covers the Part B premium — it doesn't include QMB's cost-sharing protection. Wyoming Medicaid also administers a third, separate tier not shown in the table above: Qualifying Individual (QI), which likewise pays only the Part B premium but draws from a capped annual federal allotment awarded first-come, first-served and must be reapplied for every year. Enrollees in any of these three programs are automatically enrolled in Extra Help, the Medicare Part D subsidy that limits 2026 covered-drug costs to $12.65 per prescription. Contact Wyoming Medicaid at 1-855-294-2127 or visit health.wyo.gov/healthcarefin/medicaid to apply.
Wyoming Medicaid
Visit the official Wyoming Medicaid websiteIncome Limits in Nearby States
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Current income cutoffs by state and household size, tied to the Federal Poverty Level.
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What the QMB program covers, what a QMB card proves, and how to apply.
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