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PILLAR RANKING • May 3, 2026
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Best Medicaid Coverage: State Rankings

Ranked by Medicaid breadth, eligibility, and HCBS waiver scope for seniors.

Top 3 States

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All 51 States Ranked

Higher score = better
Rank State Grade Score Details
#1 District of Columbia A 85.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#2 Minnesota A 85.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#3 Arizona A 85.0 $2,982/mo cap · 1 waiver · Standard only View →
#4 California A 85.0 $1,836/mo cap · 2 waivers · Medically-needy ✓ View →
#5 New York A 85.0 $1,836/mo cap · 3 waivers · Medically-needy ✓ View →
#6 Maine A 85.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#7 Vermont A 85.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#8 Colorado A 85.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#9 New Mexico A 85.0 $2,982/mo cap · 1 waiver · Standard only View →
#10 Washington A 85.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#11 Rhode Island A 85.0 $2,982/mo cap · 3 waivers · Medically-needy ✓ View →
#12 Oregon A 85.0 $2,982/mo cap · 4 waivers · Standard only View →
#13 Massachusetts A 85.0 $522/mo cap · 3 waivers · Medically-needy ✓ View →
#14 Alaska A 85.0 $2,982/mo cap · 2 waivers · Standard only View →
#15 Connecticut A 85.0 $2,829/mo cap · 1 waiver · Medically-needy ✓ View →
#16 North Dakota C 70.0 $1,197/mo cap · 1 waiver · Medically-needy ✓ View →
#17 Kansas C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#18 Nebraska C 70.0 $1,330/mo cap · 1 waiver · Medically-needy ✓ View →
#19 Missouri C 70.0 $1,737/mo cap · 1 waiver · Medically-needy ✓ View →
#20 Arkansas C 70.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#21 Iowa C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#22 Kentucky C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#23 Oklahoma C 70.0 $2,982/mo cap · 1 waiver · Standard only View →
#24 Utah C 70.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#25 Louisiana C 70.0 $2,982/mo cap · 3 waivers · Medically-needy ✓ View →
#26 Wisconsin C 70.0 $2,982/mo cap · 3 waivers · Medically-needy ✓ View →
#27 Indiana C 70.0 $2,982/mo cap · 1 waiver · Standard only View →
#28 Alabama C 70.0 $2,982/mo cap · 1 waiver · Standard only View →
#29 Ohio C 70.0 $2,982/mo cap · 3 waivers · Standard only View →
#30 Montana C 70.0 $994/mo cap · 2 waivers · Medically-needy ✓ View →
#31 North Carolina C 70.0 $1,330/mo cap · 2 waivers · Medically-needy ✓ View →
#32 Illinois C 70.0 $1,330/mo cap · 2 waivers · Medically-needy ✓ View →
#33 Nevada C 70.0 $2,982/mo cap · 3 waivers · Standard only View →
#34 Pennsylvania C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#35 Idaho C 70.0 $3,002/mo cap · 1 waiver · Standard only View →
#36 Michigan C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#37 Georgia C 70.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#38 Virginia C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#39 West Virginia C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#40 Hawaii C 70.0 $1,530/mo cap · 1 waiver · Medically-needy ✓ View →
#41 Delaware C 70.0 $2,485/mo cap · 2 waivers · Standard only View →
#42 Maryland C 70.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#43 New Hampshire C 70.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#44 New Jersey C 70.0 $2,982/mo cap · 1 waiver · Standard only View →
#45 South Dakota F 55.0 $2,982/mo cap · 1 waiver · Standard only View →
#46 Texas F 55.0 $2,982/mo cap · 2 waivers · Standard only View →
#47 South Carolina F 55.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#48 Tennessee F 55.0 $2,982/mo cap · 1 waiver · Medically-needy ✓ View →
#49 Florida F 55.0 $2,982/mo cap · 2 waivers · Medically-needy ✓ View →
#50 Mississippi F 40.0 $2,982/mo cap · 2 waivers · Standard only View →
#51 Wyoming F 15.0 $2,982/mo cap · 1 waiver · Standard only View →
Scores are 0–100 relative to other states. Pillar grades are assigned by within-pillar rank position. Read methodology →