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Yes, you can be a recipient of Medicaid while legally using medical cannabis with a valid doctor’s certificate. Medicaid eligibility is based on income and other criteria, and legally obtaining medical marijuana under state law does not automatically disqualify you from receiving Medicaid benefits. 

However, it is important to understand the limitations regarding coverage and federal law:

• No Coverage for Costs: Because marijuana is still illegal under federal law, Medicaid—a federal-state program—will not pay for medical marijuana products, including oils, edibles, or cannabis flower.
• No Cost for Cards: Medicaid will not cover the cost of obtaining a medical marijuana card or doctor certification fees.
• Exceptions (FDA-Approved): Medicaid may cover FDA-approved cannabinoid-based medications, such as Dronabinol (for nausea/appetite) or Epidiolex (for seizures), but not raw or dispensary-sold cannabis.
• State-Level Legality: While Medicaid will not pay for it, having a medical marijuana certificate from your state does not make your Medicaid coverage invalid. 

In summary, you can have both, but you must pay for the medical cannabis out of pocket.