It's difficult to predict with certainty whether you will get an MBBS seat through the Meghalaya state quota with a NEET score of 428 marks in 2024.

Cut-offs for MBBS seats through state quota counselling vary every year depending on factors like:

• The number of applicants from Meghalaya
• Difficulty level of the NEET exam
• The number of MBBS seats available in Meghalaya
  
  Since NEET results were declared in June 2024, and state quota counselling happens after that, confirmed cut-offs for Meghalaya in 2024 aren't available yet.
  
  While not a guarantee, referring to the previous years' cut-offs for ST category in Meghalaya can provide some insight. Look for resources mentioning cut-offs specifically for ST category in Meghalaya.
  
  https://medicine.careers360.com/articles/meghalaya-mbbs-admission
  
  I hope it helps!