States that Have Eliminated 90-day
Retroactive Medicaid Coverage

This chart highlights the state laws related to Medicaid retroactive coverage. When you apply for Medicaid, if approved, your state Medicaid program may cover any medical expenses that you have had, up to 90 days in the past. Check back often, as this chart is updated frequently.

If you don't find what you're looking for, see our other Charts of Medicaid State Laws:

For more information, visit our Medicaid Topics Page. If you are looking for state laws about health insurance generally, return to the main state laws page.

StateStates That Eliminated 90-day Retroactive Medicaid Coverage
ALABAMAhttps://casetext.com/regulation/alabama-administrative-code/title-560-alabama-medicaid-agency/chapter-560-x-25-medicaid-eligibility/section-560-x-25-12-periods-of-entitlement
ALASKAhttps://casetext.com/regulation/alaska-administrative-code/title-7-health-and-social-services/part-7-medicaid-assistance-eligibility/chapter-100-medicaid-eligibility/article-1-common-medicaid-eligibility-requirements/section-7-aac-100072-retroactive-medicaid-eligibility#:~:text=Section%207%20AAC%20100.072%20%2D%20Retroactive%20Medicaid%20eligibility%20(a)%20At,time%20during%20that%20three%2Dmonth
ARIZONAEliminated except for pregnant women and children under age 19. Eligibility begins on the first day of the month that the application is received.https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/priorqtrcoverage.html
ARKANSASShortened to 30 Dayshttps://www.healthinsurance.org/medicaid/arkansas/
CALIFORNIAhttps://www.sfhsa.org/sites/default/files/Medi-Cal%20FAQ%206.9.22_0.pdf
COLORADOhttps://takecarehealthmatters.org/wp-content/uploads/2016/03/Medicaid-for-Justice-Involved-Adults_FINAL.pdf
CONNECTICUThttps://www.cga.ct.gov/2018/BA/2018SB-00151-R000085-BA.htm
DELAWAREEliminated except for pregnant women and children under age 19.https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/de/de-dshp-ca.pdf
*DISTRICT OF COLUMBIA
FLORIDAEliminated except for pregnant women and children under age 21. Eligibility begins on the first day of the month that the application is received.https://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/program_policy/eligibility/retro_elig.shtml
GEORGIAEliminatedhttps://medicaid.georgia.gov/eligibility-faqs#:~:text=A%20woman%20may%20be%20eligible,pregnant%20in%20those%20retroactive%20months.
HAWAII
IDAHOhttps://casetext.com/regulation/idaho-administrative-code/title-idapa-16-health-and-welfare-department-of/rule-160301-eligibility-for-health-care-assistance-for-families-and-children/application-requirements/section-160301150-retroactive-medical-assistance-eligibility
ILLINOIShttps://www.dhs.state.il.us/page.aspx?item=61290
INDIANAEliminated except for children and pregnant womenhttps://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/in-healthy-indiana-plan-support-20-ca-01012021.pdf
IOWAEliminated except for children under age 19, pregnant women, and those eligible for nursing facility services.https://medcom.uiowa.edu/theloop/announcements/iowa-medicaid-change-ends-retroactive-benefits
KANSAShttps://khap2.kdhe.state.ks.us/kfmam/main.asp?tier1=02000&tier2=02340&tier3=2340&tier4=02
KENTUCKYhttps://www.healthinsurance.org/medicaid/kentucky/
LOUISIANAhttps://ldh.la.gov/assets/medicaid/MedicaidEligibilityPolicy/H-700.pdf
MAINEhttps://www.maine.gov/sos/cec/rules/10/144/ch332/144c332-sans-extras.docx
MARYLANDhttps://www.peoples-law.org/medicaid-maryland
MASSACHUSETTSEliminated except for children under age 19 and pregnant women.https://www.mass.gov/doc/masshealth-eligibility-flexibilities-for-covid-19-0/download
MICHIGANhttps://cdn.ymaws.com/www.mpca.net/resource/resmgr/HMP_FAQ_5_28_14.pdf
MINNESOTAhttps://www.house.leg.state.mn.us/hrd/pubs/medastib.pdf
MISSISSIPPIhttps://medicaid.ms.gov/wp-content/uploads/2016/12/Section-101.10.04.pdf
MISSOURI
MONTANAhttps://rules.mt.gov/gateway/RuleNo.asp?RN=37%2E82%2E904
NEBRASKAhttps://www.nebraska.gov/rules-and-regs/regsearch/Rules/Health_and_Human_Services_System/Title-477/Chapter-04.pdf
NEVADAhttps://www.medicaid.nv.gov/downloads/provider/nv_billing_general.pdf
NEW HAMPSHIREEliminatedhttps://www.healthinsurance.org/medicaid/new-hampshire/
NEW JERSEYhttps://www.law.cornell.edu/regulations/new-jersey/N-J-Admin-Code-SS-10-90-5.7
NEW MEXICOhttps://casetext.com/regulation/new-mexico-administrative-code/title-8-social-services/chapter-200-medicaid-eligibility-general-recipient-policies/part-400-general-medicaid-eligibility/section-820040014-retroactive-medicaid
NEW YORKhttps://www1.nyc.gov/site/ochia/coverage-care/medicaid.page#:~:text=What%20is%20Medicaid%3F,eligible%20during%20those%2090%20days.
NORTH CAROLINAhttps://www.hendersoncountync.gov/socialservices/page/medicaid-faq
NORTH DAKOTAhttps://www.nd.gov/dhs/policymanuals/51005/Content/510_05_25_10.htm#:~:text=Retroactive%20eligibility%20may%20be%20established,each%20month%20of%20retroactive%20benefits.
OHIO
OKLAHOMAEliminated except for pregnant women, children under age 19 and the Aged, Blind, or Disabled (ABD)https://www.medicaid.gov/medicaid-chip-program-information/by-topics/waivers/1115/downloads/ok/ok-soonercare-ca.pdf
OREGONhttps://www.macpac.gov/wp-content/uploads/2019/08/Medicaid-Retroactive-Eligibility-Changes-under-Section-1115-Waivers.pdf
PENNSYLVANIA
*PUERTO RICOhttps://www.govinfo.gov/content/pkg/CFR-2018-title42-vol4/xml/CFR-2018-title42-vol4-part436.xml
RHODE ISLANDhttps://eohhs.ri.gov/media/31436/download
SOUTH CAROLINAhttps://www.scdhhs.gov/internet/pdf/manuals-archive/dme/Section%201.pdf
SOUTH DAKOTAhttps://dss.sd.gov/docs/medicaid/providers/billingmanuals/General/Recipient_Eligibility.pdf
TENNESSEEEliminated except for pregnant women and children under age 21.https://www.tn.gov/content/dam/tn/tenncare/documents/tenncarewaiver.pdf
TEXAShttps://www.hhs.texas.gov/handbooks/medicaid-elderly-people-disabilities-handbook/g-7000-prior-coverage
UTAHEliminated for most adults above age 19https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ut-primary-care-network-state-ltr-08102021.pdf
VERMONT
VIRGINIAhttps://www.vhcf.org/wp-content/uploads/2021/02/Overview-2-2021.pdf
WASHINGTONhttps://www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/wac-182-504-0005-washington-apple-health-retroactive-certification-period
WEST VIRGINIA
WISCONSINhttps://www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Print.aspx?ia=1&p=1&sa=50&s=6&c=38&nt=Retroactive+Enrollment#:~:text=A%20member's%20enrollment%20may%20be,were%20met%20during%20the%20period.
WYOMINGhttps://health.wyo.gov/healthcarefin/medicaid/faqs/
GUAMhttps://www.govinfo.gov/content/pkg/CFR-2018-title42-vol4/xml/CFR-2018-title42-vol4-part436.xml
LAST UPDATE12/23