This annual Medicaid budget survey report highlights certain policies in place in state Medicaid programs in state fiscal year (FY) 2022 and policy changes implemented or planned for FY 2023. The findings are drawn from the 22nd annual budget survey of Medicaid officials conducted by the Kaiser Family Foundation (KFF) and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD).

Medicaid budget survey reports from prior years are available in our archives.

NEWS RELEASE

• A news release announcing the publication of the 2022 Medicaid Budget Survey is available.

EXECUTIVE SUMMARY

• The Executive Summary provides an overview of the 2022 survey results and is available under the Executive Summary tab.

FULL REPORT

• The complete 2022 Medicaid Budget Survey Report is available under the Report tab. The Report tab contains 8 separate sections. Users can view each section separately or download a full Report PDF from the right side of the page.

SPENDING & ENROLLMENT BRIEF

• This companion issue brief provides an overview of Medicaid spending and enrollment growth with a focus on FY 2022 and FY 2023.

WEB BRIEFING

• A recording of an October 25 web briefing highlighting key findings from the 2022 report will be available.

ADDITIONAL BRIEFS

• Additional briefs using 2022 Medicaid budget survey data are published separately:
  • State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services
  • 10 Things to Know About Medicaid Managed Care
  • Strategies to Manage Unwinding Uncertainty for Medicaid Managed Care Plans: Medical Loss Ratios, Risk Corridors, and Rate Amendments
  • Medicaid Arrangements to Coordinate Medicare and Medicaid for Dual-Eligible Individuals
  • Medicaid and Racial Health Equity
  • Medicaid Managed Care Network Adequacy & Access: Current Standards and Proposed Changes

BEHAVIORAL HEALTH SUPPLEMENTAL SURVEY

• In 2022, KFF and HMA also fielded a survey on Medicaid behavioral health (mental health and substance use disorder) benefits and other policy. Results from this supplemental survey are published in a series of briefs:
  • Telehealth Delivery of Behavioral Health Care in Medicaid: Findings from a Survey of State Medicaid Programs
  • A Look at Strategies to Address Behavioral Health Workforce Shortages: Findings from a Survey of State Medicaid Programs
  • Leveraging Medicaid for School-Based Behavioral Health Services: Findings from a Survey of State Medicaid Programs
  • Medicaid Coverage of Behavioral Health Services in 2022: Findings from a Survey of State Medicaid Programs
    • For state-by-state detail, see: Medicaid Behavioral Health Services Data Collection
  • How do States Deliver, Administer, and Integrate Behavioral Health Care? Findings from a Survey of State Medicaid Programs
  • Behavioral Health Crisis Response: Findings from a Survey of State Medicaid Programs