Medicaid State Fact Sheets
Published:
Medicaid provides health and long-term care coverage to 83 million low-income children and adults in the United States. Medicaid is administered by states within broad federal rules and jointly funded by states and the federal government through a federal matching program. Because states have some flexibility to determine which populations and services to cover, how to deliver care and how much to reimburse providers, there is variation across states in program spending and the share of residents covered by the program.
Click on a state to download a two-page fact sheet that provides a snapshot of key data for Medicaid in every state.
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 Medicaid enrollment:
State Health Facts. “Medicaid Expansion Enrollment, June 2024.” KFF, https://www.kff.org/affordable-care-act/state-indicator/medicaid-expansion-enrollment/.
Medicaid enrollees by age:
State Health Facts. “Medicaid Enrollees by Age, 2021.” KFF, https://www.kff.org/medicaid/state-indicator/medicaid-enrollees-by-age/.
Medicaid enrollees by urban/rural status:
State Health Facts. “Medicaid Enrollees by Urban/Rural Status, 2021.” KFF, https://www.kff.org/other/state-indicator/medicaid-enrollees-by-urban-rural-status/.
Medicaid enrollees with chronic conditions:
State Health Facts. “Medicaid Enrollees Ages 19-64 by Number of Chronic Conditions, 2021.” KFF, https://www.kff.org/other/state-indicator/medicaid-enrollees-ages-19-64-by-number-of-chronic-conditions/.
State expansion status:
“Status of State Medicaid Expansion Decisions.” KFF, https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/.
Number of adults in the coverage gap:
State Health Facts. “Characteristics of Poor Uninsured Nonelderly Adults in the ACA Coverage Gap, 2023.” KFF, https://www.kff.org/affordable-care-act/state-indicator/characteristics-of-poor-uninsured-nonelderly-adults-in-the-aca-coverage-gap/.
Number of adults in the expansion group:
State Health Facts. “Medicaid Expansion Enrollment, June 2024.” KFF, https://www.kff.org/affordable-care-act/state-indicator/medicaid-expansion-enrollment/.
Medicaid covers:- Births covered by Medicaid: State Health Facts. “Births Financed by Medicaid, 2023.” KFF, https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/.
- Children and adults ages 19-64: State Health Facts. “Medicaid Coverage Rates for the Nonelderly by Age, 2023.” KFF, https://www.kff.org/medicaid/state-indicator/rate-by-age-3/.
- Working-age adults with disabilities: State Health Facts. “Distribution of Working-Age Adults with a Disability by Insurance Coverage, 2023.” https://www.kff.org/other/state-indicator/distribution-of-working-age-adults-with-a-disability-by-insurance-coverage/.
- Medicare beneficiaries: State Health Facts. “Dual-Eligible Individuals as a Share of Medicare Enrollment, 2024.” https://www.kff.org/other/state-indicator/dual-eligible-individuals-as-a-share-of-medicare-enrollment/.
- Nursing home residents: State Health Facts. “Distribution of Certified Nursing Facility Residents by Primary Payer Source, 2024.” KFF, https://www.kff.org/other/state-indicator/distribution-of-certified-nursing-facilities-by-primary-payer-source/.
Share of adult Medicaid enrollees who are working:
KFF analysis of the 2023 American Community Survey, 1-Year Estimates.
Congressional District Maps:
Rhiannon Euhus, Alice Burns, Robin Rudowitz. Congressional District Interactive Map: Medicaid Enrollment by Eligibility Group (Washington, DC: KFF, March 2025), https://www.kff.org/medicaid/issue-brief/congressional-district-interactive-map-medicaid-enrollment-by-eligibility-group/.
Median eligibility levels:- 100% of FPL for family of three and individual: 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 Programs (2025), https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines.
- Children: State Health Facts. “Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level, January 2025.” 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.
- Pregnant women: State Health Facts. “Medicaid and CHIP Income Eligibility Limits for Pregnant Women, 2003-2025.” 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, January 2025.” KFF, https://www.kff.org/health-reform/state-indicator/medicaid-income-eligibility-limits-for-adults-as-a-percent-of-the-federal-poverty-level/.
- Seniors and People with disabilities: State Health Facts. “Medicaid Eligibility for SSI Enrollees and Optional Seniors & People with Disabilities Up To 100% FPL, 2025.” KFF, https://www.kff.org/medicaid/state-indicator/medicaid-eligibility-through-the-aged-blind-disabled-pathway/.
Medicaid spending by service: State Health Facts. “Distribution of Medicaid Spending by Service, Fiscal Year 2023.” KFF, https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-spending-by-service/.
- Note: Values may not sum to 100% due to rounding.
- For more information on fee-for-service acute care spending, see: https://www.kff.org/medicaid/state-indicator/spending-on-acute-care/.
Federal funding as a share of total Medicaid spending:
State Health Facts. “Federal and State Share of Medicaid Spending, FY 2023.” KFF, https://www.kff.org/medicaid/state-indicator/federalstate-share-of-spending/.
Medicaid enrollees & expenditures:- State Health Facts. “Medicaid Enrollees by Enrollment Group, 2021.” KFF, https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-enrollees-by-enrollment-group/.
- Note: “Unknown” enrollees are not included.
- State Health Facts. “Medicaid Spending by Enrollment Group, 2021.” KFF, https://www.kff.org/medicaid/state-indicator/medicaid-spending-by-enrollment-group/.
- Note: “Unknown” expenditures are not included.
Per-enrollee spending on home care and institutional care:
State Health Facts. “Medicaid Spending per Enrollee Using Long-Term Care (LTC), 2021.” KFF, https://www.kff.org/other/state-indicator/medicaid-spending-per-enrollee-using-long-term-care/.
Medicaid enrollees using home care and institutional care:
State Health Facts. “Medicaid Enrollees Using LTSS as a Percent of Total Medicaid Enrollees, 2021.” KFF, https://www.kff.org/other/state-indicator/medicaid-enrollees-using-ltss-as-a-percent-of-total-medicaid-enrollees/.
Waiting list enrollment for home care:
State Health Facts. “Medicaid HCBS Waiver Waiting List Enrollment, by Target Population and Whether States Screen for Eligibility, 2024.” KFF, https://www.kff.org/medicaid/state-indicator/medicaid-hcbs-waiver-waiting-list-enrollment-by-target-population-and-whether-states-screen-for-eligibility/.
Share of those that hold favorable views of Medicaid:
7 Charts About Public Opinion on Medicaid. (Washington, DC: KFF, March 2025), https://www.kff.org/medicaid/poll-finding/7-charts-about-public-opinion-on-medicaid/.National access measures:
KFF analysis of National Health Interview Survey (NHIS), 2023. Doctor visit among 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.