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Medicaid enrollment declined by 5 million people (6%) from May 2025 through May 2026. Child enrollment in Medicaid and CHIP declined in 49 states and DC, and adult enrollment dropped in all but five states (IA, MO, NC, OK, SD). KFF's tracker presents the most recent Medicaid enrollment data by month and state.
This page tracks emerging developments in the federal government’s approach to Medicaid program integrity, along with the implications of those actions for different states.
This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption when implementing Medicaid work requirements. Forty-four states must implement work requirements starting January 1, 2027, or sooner at state option.
Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.
This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.
All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief describes states’ current provider taxes and explores how rules governing provider taxes are changing.
Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.
This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.
About 12 million people are enrolled in both Medicare and Medicaid. These dual eligible individuals are a diverse group, but are more likely than other Medicare beneficiaries to report fair or poor health and to have lower incomes and more chronic conditions.
Dual-eligible individuals make up a disproportionately large share of Medicare and Medicaid spending relative to their enrollment, in part reflecting higher rates of chronic illness.
This data collection draws on Medicare and Medicaid administrative data to present national and state-level information on people covered by both Medicare and Medicaid.
