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Medicaid Long-Term Care by State

Income limits, asset limits, and waiver programs vary significantly by state — here's what's actually true in each state we've researched, sourced directly from state Medicaid agencies.

Published August 28, 2026 How we keep this accurate
Don't apply another state's numbers to yours. These figures are genuinely state-specific — a rule in Massachusetts may not exist at all in Texas. If your state isn't listed yet, start with our national Medicaid Waivers Explained guide.

Massachusetts

10 HCBS waivers, the Frail Elder Waiver, and real 2026 spousal protection figures.

Connecticut

The strictest asset limit in the country at $1,600 — plus a pending reform bill.

California

Asset limits eliminated in 2024, reinstated in 2026, and set to shrink again in 2027.

Texas

A real waitlist on the main waiver — but a separate program with none at all.

Florida

Old waivers merged into one program, plus a second program many guides misreport.

Washington, DC

An asset limit double the federal standard, and a more forgiving spend-down window.

Alaska

The highest nursing home costs in the country — but currently no HCBS waitlist.

Hawaii

One unified Medicaid system, and the lowest HCBS income limit nationally.

New York

A genuinely generous asset limit, and two different look-back periods by care type.

Pennsylvania

A counter-intuitive rule: higher income can mean a stricter asset limit.

Illinois

Generous on assets, but a stricter income limit than most states.

Ohio

A 2026 program expansion that changes which waiver you're allowed to use.

Georgia

Two waivers with dramatically different income limits and spousal protections.

North Carolina

The real income limit is lower than what most guides report.

Michigan

One of only 3 states with an asset limit that actually updates every year.

New Jersey

Eliminated traditional waivers in 2014 — now there's no waitlist at all.

Virginia

One of the lowest personal spending allowances in the country, but no Miller Trust required.

Washington

A second program with an asset limit over 40 times higher than the standard.

Arizona

No waitlist at all — but turning 65 can change your eligibility overnight.

Maryland

Two commonly misreported figures, and a real 20,000-person waitlist number.

Tennessee

One of the few states without a traditional waitlist — plus a real annual spending cap.

Colorado

Mid-transition right now, with a distinctive regional application process.

More states are added as they're researched — each guide uses real, current figures from that state's Medicaid agency, not a national template with the state name swapped in.

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