PILLAR RANKING • November 11, 2026
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Best Medicaid Coverage: State Rankings
Ranked by how much of each state's Medicaid long-term care for seniors goes to home and community care, plus the asset limit.
Top 3 States
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All 51 States Ranked
Higher score = better| Rank | State | Grade | Score | Details | |
|---|---|---|---|---|---|
| #1 | Illinois | A | 76.5 | 43% of senior LTC spending on home care · $17,500 asset limit | View → |
| #2 | Michigan | A | 65.9 | 40% of senior LTC spending on home care · $9,950 asset limit | View → |
| #3 | New York | A | 64.7 | home-care share: CMS data unreliable (scored at national average) · $33,038 asset limit | View → |
| #4 | District of Columbia | A | 62.2 | 58% of senior LTC spending on home care · $4,000 asset limit | View → |
| #5 | Washington | A | 60.0 | 74% of senior LTC spending on home care · $2,000 asset limit | View → |
| #6 | Wisconsin | A | 60.0 | 96% of senior LTC users on home care · $2,000 asset limit | View → |
| #7 | Oregon | A | 60.0 | 93% of senior LTC users on home care · $2,000 asset limit | View → |
| #8 | Missouri | A | 54.0 | 43% of senior LTC spending on home care · $6,220.5 asset limit | View → |
| #9 | New Hampshire | A | 52.7 | home-care share: CMS data unreliable (scored at national average) · $7,500 asset limit | View → |
| #10 | New Mexico | A | 51.2 | 55% of senior LTC spending on home care · $2,000 asset limit | View → |
| #11 | California | A | 50.9 | 47% of senior LTC users on home care · $130,000 asset limit | View → |
| #12 | Texas | B | 43.8 | 49% of senior LTC spending on home care · $2,000 asset limit | View → |
| #13 | Nevada | B | 42.0 | 47% of senior LTC spending on home care · $2,000 asset limit | View → |
| #14 | Idaho | B | 40.0 | 45% of senior LTC spending on home care · $2,000 asset limit | View → |
| #15 | Maine | C | 38.4 | 27% of senior LTC spending on home care · $10,000 asset limit | View → |
| #16 | Alaska | C | 36.9 | 45% of senior LTC spending on home care · $2,000 asset limit | View → |
| #17 | Arizona | C | 35.8 | 46% of senior LTC spending on home care · $2,000 asset limit | View → |
| #18 | Rhode Island | C | 34.4 | 35% of senior LTC spending on home care · $4,000 asset limit | View → |
| #19 | Delaware | C | 33.3 | 46% of senior LTC spending on home care · $2,000 asset limit | View → |
| #20 | Minnesota | C | 33.3 | home-care share: CMS data unreliable (scored at national average) · $3,000 asset limit | View → |
| #21 | Florida | C | 33.0 | 64% of senior LTC users on home care · $2,000 asset limit | View → |
| #22 | Mississippi | C | 32.6 | 30% of senior LTC spending on home care · $4,000 asset limit | View → |
| #23 | Pennsylvania | C | 32.2 | 64% of senior LTC users on home care · $2,000 asset limit | View → |
| #24 | Connecticut | C | 31.3 | 44% of senior LTC spending on home care · $1,600 asset limit | View → |
| #25 | Virginia | C | 30.8 | 43% of senior LTC spending on home care · $2,000 asset limit | View → |
| #26 | South Carolina | C | 29.3 | 38% of senior LTC spending on home care · $2,000 asset limit | View → |
| #27 | Maryland | C | 27.9 | 36% of senior LTC spending on home care · $2,500 asset limit | View → |
| #28 | North Carolina | C | 27.3 | 60% of senior LTC users on home care · $2,000 asset limit | View → |
| #29 | Georgia | C | 26.2 | 39% of senior LTC spending on home care · $2,000 asset limit | View → |
| #30 | Nebraska | C | 26.1 | 47% of senior LTC users on home care · $4,000 asset limit | View → |
| #31 | Hawaii | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #32 | Kansas | C | 24.7 | 38% of senior LTC spending on home care · $2,000 asset limit | View → |
| #33 | Ohio | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #34 | Colorado | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #35 | New Jersey | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #36 | Massachusetts | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #37 | Vermont | C | 24.7 | home-care share: CMS data unreliable (scored at national average) · $2,000 asset limit | View → |
| #38 | Indiana | D | 22.2 | 56% of senior LTC users on home care · $2,000 asset limit | View → |
| #39 | Wyoming | D | 20.3 | 31% of senior LTC spending on home care · $2,000 asset limit | View → |
| #40 | Montana | D | 19.9 | 36% of senior LTC spending on home care · $2,000 asset limit | View → |
| #41 | Oklahoma | D | 19.3 | 30% of senior LTC spending on home care · $2,000 asset limit | View → |
| #42 | Utah | D | 16.8 | 33% of senior LTC spending on home care · $2,000 asset limit | View → |
| #43 | Iowa | F | 10.4 | 23% of senior LTC spending on home care · $2,000 asset limit | View → |
| #44 | North Dakota | F | 8.6 | 16% of senior LTC spending on home care · $3,000 asset limit | View → |
| #45 | Arkansas | F | 8.1 | 17% of senior LTC spending on home care · $2,000 asset limit | View → |
| #46 | Tennessee | F | 5.4 | 26% of senior LTC spending on home care · $2,000 asset limit | View → |
| #47 | South Dakota | F | 5.3 | 22% of senior LTC spending on home care · $2,000 asset limit | View → |
| #48 | Kentucky | F | 2.1 | 26% of senior LTC spending on home care · $2,000 asset limit | View → |
| #49 | West Virginia | F | 1.0 | 11% of senior LTC spending on home care · $2,000 asset limit | View → |
| #50 | Alabama | F | 0.0 | 13% of senior LTC spending on home care · $2,000 asset limit | View → |
| #51 | Louisiana | F | 0.0 | 20% of senior LTC spending on home care · $2,000 asset limit | View → |
Scores are 0–100 relative to other states. Pillar grades are assigned by within-pillar rank position. Read methodology →