menu

Filling the need for trusted information on national health issues

Support our work

Medicaid

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.

ACA MEDICAID EXPANSION
Supreme Court Case

Eliminating the ACA: What Could It Mean for Medicaid Expansion?

Millions of low-income Americans currently covered by Medicaid likely would become uninsured if the Supreme Court were to strike down the Affordable Care Act in California v. Texas, a legal challenge the high court is scheduled to hear in early November. Eliminating the Medicaid expansion would also have implications for state budgets and economies, as well as provider capacity and the financial health of hospitals and other health care providers.
Covering the Uninsured

How Many Uninsured Adults Could Be Reached If All States Expanded Medicaid?

Pre-Existing Conditions

Medicaid Covers People with Pre-Existing Conditions, Too

Literature review

What Does the Research Show About the Effects of ACA Medicaid Expansion?

State Decisions

See Our Interactive Map of State Medicaid Expansion Decisions

New & Noteworthy
  • 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.
Coronavirus
Coronavirus (COVID-19)

Medicaid Managed Care Rates and Flexibilities: State Options to Respond to COVID-19 Pandemic

This brief provides an overview of how Medicaid managed care organization (MCO) capitation rates are developed and approved, highlights options available to states to adjust current rates and/or risk sharing mechanisms, describes how MCOs pay providers, and outlines state options to direct MCO payments to providers in response to conditions created by the COVID-19 pandemic.

LONG-Term CARE

State Actions to Sustain Medicaid Long-Term Services and Supports During COVID-19

Medicaid Enrollment

Medicaid and CHIP Enrollment Has Increased During the Pandemic, Reversing Previous Trends

MOE Requirements

Medicaid Maintenance of Eligibility (MOE) Requirements: Issues to Watch When They End

State Budgets

How Much Fiscal Relief Can States Expect From the Temporary Increase in the Medicaid FMAP?

LTC & COVID-19
Long-TERM CARE and COVID

Key Questions About the Impact of Coronavirus on Long-Term Care Facilities Over Time

This analysis examines trends related to cases and deaths in long-term care facilities due to COVID-19, including state-level cumulative data, weekly trends, and national comparisons.

COVID-19 Cases and Deaths in Long-Term Care Facilities, in Our State Data and Policy Actions Tracker

Key Questions About Nursing Home Regulation and Oversight in the Wake of COVID-19

Rising Cases in Long-term Care Facilities Are Cause for Concern

Limits and Opportunities of Federal Reporting on COVID-19 in Nursing Facilities

Prescription Drugs
Fact Sheets

Medicaid Pharmacy Benefits State Fact Sheets

Millions of Americans rely on Medicaid drug coverage both for treating acute problems and for managing ongoing chronic or disabling conditions. Though optional, all states provide pharmacy benefit coverage in Medicaid and administer the benefit in different ways within federal guidelines. Our state fact sheets offer a snapshot of the administration and delivery of Medicaid pharmacy benefits in each state. They are based on data from a survey of states conducted between June and December 2019.
Rebates

Understanding the Medicaid Prescription Drug Rebate Program

managing Costs

Management and Delivery of the Medicaid Pharmacy Benefit

Prices

Pricing and Payment for Medicaid Prescription Drugs

50-State Survey

How State Medicaid Programs are Managing Rx Drug Costs: Survey Results for SFYs 2019 and 2020

Medicaid Work Requirements
Data Analysis

Understanding the Intersection of Medicaid, Work and COVID-19

Most (62%) of the 22 million adults with Medicaid coverage in the U.S. who are not eligible for both Medicare and Medicaid, and who do not receive federal disability payments, are already working full- or part-time. We highlight data related to the work status and financial security of Medicaid adults prior to the coronavirus pandemic as well as findings from focus groups conducted with Medicaid enrollees in January 2020.
Waivers

Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State

Court Challenge

3 Key Questions About the Arkansas Medicaid Work and Reporting Requirements Case

Work Supports

Supporting Work without the Requirement: State and Managed Care Initiatives

Medicaid & HIV

Medicaid Work Requirements and People with HIV

The Essentials

Latest from Kaiser Health News

More Kaiser Health News

Browse the Latest from KFF

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/kff

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