Medicaid

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Medicaid Work Requiremnts

Tracking work requirements

Tracking Medicaid Work Requirements: Data and Policies

To implement Medicaid work requirements, states will need to make important policy and operational decisions, implement needed system upgrades or changes, develop new outreach and education strategies, and hire and train staff, all within a relatively short timeframe. KFF is tracking key data and policy information related to Medicaid work requirements and how states are approaching implementation.

understanding medicaid

Medicaid Financing

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.

Medicaid Program Integrity

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.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

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.

Medicaid Home 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.

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  • 50-State Survey Finds States Have Upgraded Medicaid Enrollment and Eligibility Systems and Begun Resolving Initial ACA Implementation Issues, Although Challenges Remain

    News Release

    Over its first two years, the Affordable Care Act (ACA) has triggered increases in Medicaid eligibility levels and upgrades in states’ Medicaid eligibility and enrollment systems, making it easier for individuals to enroll in Medicaid and producing faster eligibility decisions, according to a new Kaiser Family Foundation survey of Medicaid and Children’s Health Insurance Program eligibility levels and enrollment, renewal and cost-sharing policies. The 14th annual 50-state survey, conducted by the Foundation’s Kaiser Commission on…

  • Trends in Medicaid and CHIP Eligibility Over Time

    Report

    While Medicaid and CHIP eligibility has increased over time, there is significant variation in eligibility levels across states and eligibility groups. This analysis examines trends in Medicaid and CHIP eligibility limits over time for children, pregnant women, parents, and other adults. It also explores how trends in eligibility for these groups vary by several variables, including geographic region, Medicaid expansion status, and state health ranking.

  • Medicaid Expansion Spending and Enrollment in Context: An Early Look at CMS Claims Data for 2014

    Issue Brief

    This issue brief analyzes spending and enrollment data made available by CMS through the MBES. It breaks out spending and enrollment for the new adult group (Group VIII) that gained coverage in states that adopted the ACA Medicaid expansion. It looks at spending and enrollment for the new adult group in calendar year 2014, putting such data in the context of overall Medicaid spending and enrollment and examines trends across expansion states.

  • Briefing: Medicaid and CHIP Eligibility and Enrollment in 2016, and a Look Ahead: Findings from a 50-State Survey

    Event Date:
    Event

    At 9:30 a.m. ET on Thursday, January 21, the Kaiser Family Foundation hosted a public briefing to present findings from our 14th annual 50-state survey of Medicaid and CHIP eligibility, enrollment, renewal, and cost-sharing policies. The survey, conducted by the Foundation’s Kaiser Commission on Medicaid and the Uninsured (KCMU) and Georgetown University’s Center for Children and Families, provides new data on states’ Medicaid eligibility and enrollment policies, which have undergone significant change in the two…

  • States with Section 1115 ACA Expansion Waivers, December 2015

    Feature

    This slide shows the current status of state decisions to use Section 1115 waivers to expand Medicaid. A total of 31 states including DC have adopted the ACA Medicaid expansion, including 6 states with ACA 1115 ACA expansion waivers. AZ has a pending waiver application that seeks changes to its expansion. MT and NH’s waivers will take effect on 1/1/16. PA originally expanded through a waiver but subsequently transitioned to a state plan amendment. TN…

  • Medicaid and Long-Term Services and Supports: A Primer

    Report

    This primer provides an overview of the delivery and financing of institutional and community-based long-term services and supports in the United States, highlighting Medicaid's key role in providing care, quality measurement and evaluation, and recent national reform efforts.

  • Survey of Kentucky Residents on State Health Policy

    Poll Finding

    This survey of Kentucky residents gauges their views on health care policy in the state, including their preferences for the future of the Medicaid expansion and the state-based health insurance marketplace, Kynect. Kentucky has received national attention as the only Southern state to fully embrace the Affordable Care Act, though the state elected a new governor in November 2015 who campaigned on rolling back the Medicaid expansion and ending Kynect.

  • Half of Kentucky Residents Hold Unfavorable Views of the Affordable Care Act, But Seven in Ten, Including Most Republicans, Don’t Want to Scale Back Medicaid Expansion to Cover Fewer People

    News Release

    Half of Residents Want to Keep the State's Insurance Marketplace Kynect, While a Quarter Favor Switching to Federal Healthcare.Gov Marketplace Instead Many Believe Coverage Expansions Have a Negative Impact on the State’s Budget A Kaiser Family Foundation poll of Kentucky residents finds that after much discussion of the issue in the state, health care is the top issue residents want state lawmakers to address, and a strong majority opposes scaling back the state's Medicaid expansion…