The Henry J. Kaiser Family Foundation
08/14/2024 | Press release | Distributed by Public on 08/14/2024 05:49
Medicaid State Fact Sheets
Click on the state name below to download a two-page fact sheet that provides a snapshot of key data for Medicaid in every state related to current coverage, access, and spending.
SOURCES
The fact sheets include both state and national level data. Where state-level data was not available, national-level data was used to provide additional context.
For specific sources used in the fact sheets, see below.
Total Monthly Medicaid and CHIP Enrollment:
State Health Facts. "Total Monthly Medicaid/CHIP Enrollment and Pre-ACA Enrollment, April 2024." KFF, https://www.kff.org/affordable-care-act/state-indicator/total-monthly-medicaid-and-chip-enrollment/.
Uninsured rates:
State Health Facts. "Health Insurance Coverage of Nonelderly 0-64, 2022." KFF, https://www.kff.org/other/state-indicator/nonelderly-0-64/.
Share of population that is low income:
State Health Facts. "Distribution of the Total Population by Federal Poverty Level (above and below 200% FPL), 2022." KFF, https://www.kff.org/other/state-indicator/population-up-to-200-fpl/.
Share of population covered by Medicaid/CHIP:
State Health Facts. "Health Insurance Coverage of the Total Population, 2022." KFF, https://www.kff.org/other/state-indicator/total-population/.
State expansion status:
"Status of State Medicaid Expansion Decisions, May 2024." KFF, https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/.
Number of adults in the coverage gap:
Patrick Drake, Jennifer Tolbert, Robin Rudowitz, and Anthony Damico. The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid (Washington, DC: KFF, February 2024), https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid//.
Number of adults in the expansion group:
State Health Facts. "Medicaid Expansion Enrollment, June 2023." KFF, https://www.kff.org/health-reform/state-indicator/medicaid-expansion-enrollment/.
- Data for the number of adults in the North Carolina expansion group: NC Medicaid Expansion Enrollment Dashboard, July 2024, https://medicaid.ncdhhs.gov/reports/medicaid-expansion-dashboard
Median eligibility levels:
- 100% of FPL for family of three and individual:S. Department of Health & Human Services, Office of the Assistant Secretary for Planning and Evaluation. U.S. Federal Poverty Guidelines Used to Determine Financial Eligibility for Certain Federal Programs(2024), https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines.
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Children:State Health Facts. "Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level, May 1, 2024." KFF, https://www.kff.org/health-reform/state-indicator/medicaid-and-chip-income-eligibility-limits-for-children-as-a-percent-of-the-federal-poverty-level/.
- Note: Data includes eligibility through CHIP, see SHF Indicator for more information.
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Pregnant women:State Health Facts. "Medicaid and CHIP Income Eligibility Limits for Pregnant Women, 2003-2024." KFF, https://www.kff.org/medicaid/state-indicator/medicaid-and-chip-income-eligibility-limits-for-pregnant-women/.
- Note: Data reflect the highest pathway for Eligibility, see SHF Indicator for more information.
- Parents & Childless adults:State Health Facts. "Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level, May 1, " KFF, https://www.kff.org/health-reform/state-indicator/medicaid-income-eligibility-limits-for-adults-as-a-percent-of-the-federal-poverty-level/.
- People w/ disabilities:MaryBeth Musumeci, Priya Chidambaram, and Molly O'Malley Watts. Medicaid Financial Eligibility for Seniors and People with Disabilities:Findings from a 50-State Survey (Washington, DC: KFF, June 2019), https://www.kff.org/medicaid/issue-brief/medicaid-financial-eligibility-for-seniors-and-people-with-disabilities-findings-from-a-50-state-survey/.
Medicaid covers:
- Adults ages 19-64: State Health Facts. "Medicaid Coverage Rates for the Nonelderly by Age, 2022." KFF, https://www.kff.org/medicaid/state-indicator/rate-by-age-3/.
- Children: State Health Facts. "Medicaid Coverage Rates for the Nonelderly by Age, 2022." KFF, https://www.kff.org/medicaid/state-indicator/rate-by-age-3/.
- Nursing home residents: State Health Facts. "Distribution of Certified Nursing Facility Residents by Primary Payer Source, 2023." KFF, https://www.kff.org/other/state-indicator/distribution-of-certified-nursing-facilities-by-primary-payer-source/.
- Individuals with disabilities: KFF analysis of the 2022 American Community Survey, 1-Year Estimates.
- Medicare beneficiaries: State Health Facts. "Dual-Eligible Individuals as a Share of Medicare Enrollment, 2021." https://www.kff.org/other/state-indicator/dual-eligible-individuals-as-a-share-of-medicare-enrollment/
Share of non-elderly Medicaid enrollees who are people of color:
State Health Facts. "Distribution of the Nonelderly with Medicaid by Race/Ethnicity, 2022." KFF, https://www.kff.org/medicaid/state-indicator/medicaid-distribution-nonelderly-by-raceethnicity/.
Share of adult Medicaid enrollees who are working:
KFF analysis of the 2022 American Community Survey, 1-Year Estimates.
Medicaid enrollees & expenditures:
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State Health Facts. "Medicaid Enrollees by Enrollment Group" KFF, https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-enrollees-by-enrollment-group/.
- Note: "Unknown" enrollees are not included.
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State Health Facts. "Medicaid Spending by Enrollment Group" KFF, https://www.kff.org/medicaid/state-indicator/medicaid-spending-by-enrollment-group/.
- Note: "Unknown" expenditures are not included.
Medicaid spending by service:
- Note: Values may not sum to 100% due to rounding.
- State Health Facts. "Distribution of Medicaid Spending by Service" KFF, Fiscal Year 2022 https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-spending-by-service/.
- For more information on fee-for-service acute care spending, see: https://www.kff.org/medicaid/state-indicator/spending-on-acute-care/.
Federal Medical Assistance Percentage (FMAP)
- State Health Facts. "Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier" KFF, Fiscal Year 2025, https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/.
- Fiscal impact of ARPA incentive if states expanded Medicaid: Robin Rudowitz, Bradley Corallo, and Rachel Garfield. New Incentive for States to Adopt the ACA Medicaid Expansion: Implications for State Spending (Washington, DC: KFF, March 2021), https://www.kff.org/medicaid/issue-brief/new-incentive-for-states-to-adopt-the-aca-medicaid-expansion-implications-for-state-spending/.
Births Covered by Medicaid:
State Health Facts. "Births Financed by Medicaid, 2022.", KFF, https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/.
Medicaid 12-month postpartum coverage extension:
State Health Facts. "Status of State Adoption of 12-Months Postpartum Coverage in Medicaid, May 2024.", KFF, https://www.kff.org/other/state-indicator/status-of-state-adoption-of-12-months-postpartum-coverage-in-medicaid/.
Medicaid Coverage of Women Ages 15- 49:
KFF analysis of the 2022 American Community Survey, 1-Year Estimates.
Share of those that hold favorable views of Medicaid:
KFF. "5 Charts About Public Opinion on Medicaid, March, 2023".https://www.kff.org/medicaid/poll-finding/5-charts-about-public-opinion-on-medicaid/.
National access measures:
KFF analysis of National Health Interview Survey (NHIS), 2022. Doctor visit among nonelderly adults (ages 18 to 64) refers to any health professional in the past year, Delayed or Went Without Care Due to Cost refers to going without care in the past year.