20th Annual Medicaid Budget Survey
  • Medicaid Enrollment & Spending Growth: FY 2020 & 2021

    Following several years of declining or flat enrollment growth, states expect Medicaid enrollment and spending each to jump by more than 8 percent in fiscal year 2021, chiefly due to a slumping economy amid the pandemic and federal conditions to maintain coverage to access enhanced federal matching funds. The Medicaid program increasingly will be relied upon to provide health coverage and help soften the economic blow of the pandemic — all at a time when states’ financial capacity to provide such services is stretched thin.

  • State Medicaid Programs Respond to Meet COVID-19 Challenges: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2020 and 2021

    Our annual in-depth, state-specific examination of policy changes and initiatives in Medicaid programs find that this year many involve responses to the COVID-19 pandemic. We present the latest on eligibility and enrollment, provider rates, delivery systems, long-term services and supports, pharmacy actions, benefits, cost-sharing, telehealth and more.

  • Providers

    Options to Support Medicaid Providers in Response to COVID-19

    The coronavirus pandemic has resulted in financial strain for Medicaid providers. We provide an overview of how states currently reimburse providers and the challenges for Medicaid providers that have emerged from the pandemic and state budget issues. We have data on recent state actions to help bolster Medicaid providers and discuss support available for providers from the federal relief fund.
  • Tracker

    Medicaid Emergency Authority Tracker: Approved State Actions to Address COVID-19

    Information on approved Medicaid emergency authorities to address the COVID-19 Coronavirus emergency. We include details on Medicaid Disaster Relief State Plan Amendments (SPAs), other Medicaid and CHIP SPAs, and other state-reported administrative actions; Section 1115 Waivers; Section 1135 Waivers; and 1915 (c) Waiver Appendix K strategies.
  • Tracker

    State Data and Policy Actions to Address Coronavirus

    States are taking aggressive action to slow down the spread of the novel coronavirus and prepare their health care systems for dealing with those who become ill with COVID-19, the disease the virus causes. This tool features state-level data on COVID-19 cases and deaths, state policy actions, and data about health coverage and provider capacity within each state. 
  • Food

    Food Insecurity and Health: Addressing Food Needs for Medicaid Enrollees as Part of COVID-19 Response Efforts

    The economic impacts of COVID-19 have contributed to food insecurity, especially among lower-income people on Medicaid. 
    Among Medicaid adults, 23 percent reported that their households sometimes or often didn’t have enough to eat in the week ending July 21.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.