Medicaid State Fact Sheets
Jun 16, 2017
Medicaid and the Children’s Health Insurance Program (CHIP) provide health and long-term care coverage to more than 70 million low-income children, pregnant women, adults, seniors, and people with disabilities in the United States. Medicaid is a major source of funding for hospitals, community health centers, physicians, and nursing homes. Federal policy proposals to restructure Medicaid could fundamentally change the scope and financing of the program. The two-page fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access and financing. What percentage of people are covered by Medicaid/CHIP in your state? Click on a state or the US to download a fact sheet.
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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.
Snapshot of the population
- Total Number of Residents
- Distribution of the Total Population by Federal Poverty Level (above and below 200% FPL)
- Percent of Adults Who are Overweight or Obese
- Percent of Adults Reporting Poor Mental Health Status
- Percent of Adults Reporting Fair or Poor Health Status
- Percent of Adults Who Have Ever Been Told by a Doctor that They Have Diabetes
- Opioid Overdose Death Rates and All Drug Overdose Death Rates per 100,000 Population (Age-Adjusted)
- Estimated Rates (per 100,000) of HIV Diagnoses, Adults and Adolescents
How has Medicaid affected coverage and access?
- Health Insurance Coverage of the Total Population
- Total Monthly Medicaid and CHIP Enrollment
- Status of State Action on the Medicaid Expansion Decision
- KFF analysis of CMS, January - March 2016 Medicaid MBES Enrollment Report, December 2016 (accessed January 2017); Louisiana Department of Health, LAD Medicaid Expansion Dashboard, accessed January 2017; North Dakota Department of Human Services, Quarterly Budget Insight Report, July 2015-September 2016 (accessed January 2017).
- Health Insurance Coverage of Adults 19-64
- Health Insurance Coverage of the Nonelderly (0-64) with Incomes up to 200% Federal Poverty Level (FPL)
- Health Insurance Coverage of Children 0-18
- Distribution of Certified Nursing Facilities by Primary Payer Source
- Distribution of the Nonelderly with Medicaid by Family Work Status
- KFF analysis of CDC, The National Health Interview Survey (NHIS), 2015. Doctor visit among adults refers to a general doctor visit only and does not include specialty care.
- KFF, Medicaid Pocket Primer, January 3, 2017.
- KFF, Medicare and Medicaid at 50 Survey, July 17, 2015.
How does Medicaid work and who is eligible?
- Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
- Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
- Medicaid Eligibility through the Aged, Blind, Disabled Pathway
How are Medicaid funds spent and how is the program financed?
- KFF analysis of CMS, National Health Expenditure Data, 2015.
- America’s Safety Net Hospitals and Health Systems, 2010, National Association of Public Hospitals and Health Systems, May 2012.
- Medicaid estimates from Urban Institute analysis of data from the Medicaid Statistical Information System (MSIS), Medicaid Financial Management Reports (CMS Form 64), and Kaiser Commission on Medicaid and the Uninsured and Health Management Associates data. Private health insurance data from Centers for Medicare & Medicaid Services Office of the Actuary, National Health Statistics Group.
- Distribution of Medicaid Spending by Service
- Distribution of Fee-for-Service Medicaid Spending on Acute Care
- Distribution of Medicaid Enrollees by Enrollment Group
- Medicaid Spending by Enrollment Group
- Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier
- KFF analysis of CMS, Medicaid CMS-64 New Adult Group Expenditures Data collected through the Medicaid Budget and Expenditure System (MBES), December 2016 (accessed January 2017).
- Medicaid-to-Medicare Fee Index
- Truven, Medicaid Expenditures for Long-Term Services and Supports (LTSS) in FY 2015, April 14, 2017. CA data are from Truven, Medicaid Expenditures for Long-Term Services and Supports (LTSS) in FY 2014, April 15, 2016. NC data are from Truven, Medicaid Expenditures for Long-Term Services and Supports (LTSS) in FY 2013, June 30, 2015.
- Share of Medicaid Population Covered under Different Delivery Systems
- Number of Dual Eligible Beneficiaries
- Dual Eligibles as a Percent of Total Medicare Beneficiaries
- Dual Eligibles’ Share of Medicaid Spending
- Distribution of State General Fund Expenditures (in millions)
- KFF analysis of National Association of State Budget Officers (NASBO), State Expenditure Report: Fiscal 2014-2016, November 17, 2016.
- DC estimates for the share of state general fund spending and the share of federal funds for Medicaid are from KFF communication with the DC Fiscal Policy Institute.
What are the implications of reduced federal financing in a Medicaid block grant or a per capita cap?
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Related Resources
- Factors Affecting States’ Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
- Implications of Reduced Federal Medicaid Funds: How Could States Fill the Funding Gap?
- Key Medicaid Questions Post-Election
- Medicaid Pocket Primer
- Medicaid Financing: The Basics
- What’s at Stake in a Potential Repeal of the ACA Medicaid Expansion?
