Nevada Medicaid: Income Limits, Eligibility and How to Apply
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Medicaid in Nevada is run by the Nevada Division of Health Care Financing and Policy; eligibility through the Division of Social Services. Nevada adopted the Affordable Care Act expansion in 2014, so an adult under 65 qualifies on income alone at or below 138% of the poverty guideline: $1,835 a month for one person in 2026. Children are covered through Nevada Check Up, and the application is at accessnevada.nv.gov/public/landing-page or 877-638-3472. Every figure below is dated 2026-09-23.
| Program | Nevada Medicaid |
|---|---|
| Children | Nevada Check Up |
| Agency | Nevada Division of Health Care Financing and Policy; eligibility through the Division of Social Services |
| Apply | accessnevada.nv.gov/public/landing-page · 877-638-3472 |
| Expansion | Yes, since 2014 |
| Adult income limit, 2026 | $22,025 a year for one person; $45,540 for four |
| Work requirement | federal deadline January 1, 2027 |
Who qualifies in Nevada
Adults 19 to 64 not on Medicare qualify at or below 138% of poverty (133% plus a 5% disregard), on household modified adjusted gross income, with no asset test. The 2026 figures:
| Household size | Annual income at 138% | Monthly | 100% of poverty (marketplace floor) |
|---|---|---|---|
| 1 | $22,025 | $1,835 | $15,960 |
| 2 | $29,863 | $2,489 | $21,640 |
| 3 | $37,702 | $3,142 | $27,320 |
| 4 | $45,540 | $3,795 | $33,000 |
| 5 | $53,378 | $4,448 | $38,680 |
Computed from the 2026 HHS poverty guidelines (January 15, 2026).
Children (Nevada Check Up), pregnant women, parents, seniors and people with disabilities use other limits that Nevada sets above the federal minimums.
How Nevada compares
Nevada expanded on the first day it could, January 1, 2014, with the original group of states. On the work requirement it is not among the early starters (Arkansas, Iowa, Montana, Nebraska), so members have until January 1, 2027. Nevada uses the plain "Medicaid" name, so the card and letters say what they are.
How to apply for Nevada Medicaid
- Apply online at accessnevada.nv.gov/public/landing-page, or call 877-638-3472. HealthCare.gov also takes Medicaid applications and forwards them to Nevada. There is no enrollment period; any day works.
- Report this month's income.
A Nevada Medicaid case also qualifies you for a free phone (Nevada carriers, paperwork) and shares documents with Nevada SNAP.
What changes in Nevada
Nevada has not announced a start date for the federal work requirement, so it takes effect on the federal deadline, January 1, 2027. Six-month renewals for expansion adults begin with renewals scheduled on or after January 1, 2027. The nationwide changes are on the hub with CMS sources.
Nevada specifics
- Offices serve Las Vegas, Henderson, Reno and every county; hospitals and health centers also employ enrollment assisters.
Whether Nevada Medicaid pays for dental or weight-loss drugs is Nevada's choice; see does Medicaid cover.
Common questions
What is the Medicaid income limit in Nevada for 2026?
$22,025 a year for one adult, $29,863 for two and $45,540 for four (138% of the 2026 poverty guideline); children go higher through Nevada Check Up.
Does Nevada have a Medicaid work requirement?
From January 1, 2027, the federal deadline; Nevada has not set an earlier date. It applies to expansion adults 19 to 64 at 80 hours a month, with exemptions listed on the hub.
Sources
- Nevada Medicaid: state program page
- HHS: 2026 poverty guidelines
- HealthCare.gov: Medicaid expansion and you (138%)
- Federal Register: community engagement interim final rule (June 3, 2026)
- CMS: 2025 law section-by-section overview
Gov-Grants.org is an independent guide, not a carrier and not a government agency. We never charge fees, and every fact above links to its source with the date we checked it. Program details change; confirm on the official site before applying.