Can Non-U.S. Citizens Still Be Eligible for Medicaid?

Fact Checked by Garrett Ball | Updated on September 2, 2025
In This Article
James Yoo

Written by James Yoo

Garrett Ball

Reviewed by Garrett Ball

Expert Reviewer

We want to help you make educated healthcare decisions. While this post may have links to lead generation forms, this won’t influence our writing. We adhere to strict editorial standards to provide the most accurate and unbiased information.

What You Need to Know

  • OBBBA reforms (2025): The Trump Administration’s One Big Beautiful Bill Act introduced Medicaid work requirements, a 5-year wait for green card holders, and cuts to coverage/funding for non-citizens.

  • Retroactive coverage reduced: The bill aimed to shorten retroactive Medicaid coverage from 3 months to 1.

  • Funding restrictions: CMS rules and Congressional proposals sought to lower federal matching funds for states covering undocumented immigrants.

If you are not a U.S. citizen, you may be eligible for Medicaid, depending on the rules in your state. But you have to meet certain requirements before receiving any benefits. First, you must be a qualified immigrant. Second, you will have to wait five years before you can apply. Exceptions exist as well.

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Eligibility requirements for Medicaid were established by the Personal Responsibility and Work Opportunity Act of 1996. It divided immigrants into two groups: qualified and non qualified. Generally, only qualified immigrants are eligible to receive Medicaid.

You may be eligible as a qualified non-citizen if you are a:

  • Lawful permanent resident (or green card holder),
  • Immigrant paroled into the U.S. for at least one year,
  • Immigrant granted conditional entry into the U.S. before 1980,
  • Asylee,
  • Refugee,
  • Cuban/Haitian entrant,
  • Victim of trafficking, including spouses, children, siblings, or parents,
  • Battered non-citizen, including spouses, children, or parents, or
  • Veteran and active member of the military, including spouses and children

The Five-Year Waiting Period

If you fit the federal definition of qualified, you will have to wait five years in order to apply for and receive coverage from Medicaid. However, some groups are exempt from this waiting period.

Among those who wait are lawful permanent residents, immigrants paroled into the U.S. for at least a year and immigrants granted conditional entry before 1980.

Among those who do not have to wait are asylees, refugees, Cuban/Haitian entrants, victims of tracking, battered noncitizens, and veterans and active members of the military.

Undocumented immigrants are not eligible to enroll in Medicaid.

Meeting Medicaid Requirements

If you are a qualified immigrant, you must also meet your state’s eligibility requirements on income and household size for Medicaid. Depending on the state you live in, you can follow the income guideline, which includes the number of individuals in your family/household.

Taking the Next Steps

It’s important to double-check your immigration status as well as your qualifications to see if you are eligible for Medicaid. Researching the basics on Medicaid can help you in the process of finding coverage as a non-citizen. Plans under Medicaid can vary depending on state guidelines, but most should cover certain essential services.You can apply for Medicaid at any point of the year. If you meet the income and residency requirements for your state, you may be able to receive coverage. Medicaid is extraordinarily helpful if you are eligible to enroll.

James Yoo
About the author

James Yoo

James is a writer and editor for HealthCare.com and its web properties. He is a former newspaper journalist. James has an MA in journalism from Syracuse University and a BA in history from the University of Pennsylvania.


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