Do I stay on Medicaid if I move to another county?

Do I stay on Medicaid if I move to another county?

Short answer: Yes, within the same state. Report the move; the case may transfer to the new county’s office, and home care providers may change.

Figures change periodically. Double-check current amounts before relying on them.

Moving within the same state does not end Medicaid eligibility. But you should:

  • report the move promptly, in writing, with the new address;
  • expect the case to be transferred to the new county or regional office in states where counties handle cases;
  • tell the nursing home or care providers;
  • for waiver participants, ask whether the same waiver and providers are available in the new county. Some waivers are regional, and a new case manager or provider may be needed;
  • for managed care members, check whether the plan serves the new county.

Moving into a nursing home in another county is also a move that should be reported. Keep copies of every notice.

Getting help

Every situation is different, and small facts can change the answer. If this question affects a real decision, especially with a spouse at home, a home, gifts or a trust, a Certified Medicaid Planner can apply your state’s rules to your situation. As a rough guide, published fees for help with an application range from about $500 to $6,000, and hourly help from about $150 to $600.

Last updated for 2026. General information only, not legal or financial advice. Medicaid Answers is a free educational resource published by Medicaid Answers Foundation.

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