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Medicaid's non-emergency medical transportation (NEMT) benefit helps low-income enrollees get to care and accounts for less than 1% of Medicaid spending. Amid the current administration's focus on Medicaid fraud, this brief examines how states administer NEMT, what Medicaid spends on the program, and who uses it.
What percentage of people are covered by Medicaid in your state? Our State Medicaid fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access, and financing, as well as a politics section for each state.
Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion. KFF's policy analysis explains why SSI applicants are particularly at risk of going uninsured under the new Medicaid rules.
This analysis finds that Medicaid through the expansion pathway covered over 1 in 4 SSDI applicants and beneficiaries waiting to become eligible for Medicare (120,300 people out of a total 415,300 in 2023). In future years, people applying for and new to SSDI may experience difficulties maintaining Medicaid prior to becoming eligible for Medicare because of the new work requirements.
KFF’s new interactive maps illustrate Medicaid enrollment by congressional district and eligibility group. In half of Republican congressional districts, at least 20% of residents are enrolled in Medicaid, and in half of Democratic districts, at least 25% are enrolled.
The federal government continues to focus on addressing fraud, waste, and abuse in Medicaid, with much of the attention focused on home care services. This issue brief provides new information about Medicaid home care programs’ use of program integrity tools, based on findings from KFF’s 50-state survey of Medicaid home care program officials.
In all years since 2016, there have been at least 0.5 million people on waiting lists or interest lists for Medicaid home care, with a total of almost 650,000 in 2026. This data note provides new information about these waiting lists based on findings from KFF’s 50-state survey of Medicaid home care program officials.
Less than a month after CMS released its interim final rule on Medicaid work requirements, 24 states, including DC, sued the Trump administration over its interpretation of the 2025 reconciliation law’s requirements — including most notably the medical frailty exemption.
This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.
This brief describes early state plans to operationalize the medical frailty exemption for Medicaid work requirements and identifies key issues and questions states are facing, some of which may be answered in forthcoming CMS guidance.
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