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Medicaid Enrollment by State 2020

Medicaid is a federal and state program in the United States that helps people with limited income and resources to cover medical costs. Medicaid is the largest source of funding for medical and health-related services for people with low income in the US, with 74 million people enrolled.

Research suggests that Medicaid improves health insurance coverage, access to health care, recipients’ financial security and economic benefits to states and health providers. Medicaid offers additional benefits not covered by Medicare, such as nursing home care.

The Patient Protection and Affordable Care Act (PPACA), also known as the Affordable Care Act or Obamacare, was signed into law by President Obama in 2010. The act expanded Medicaid eligibility and cut the uninsured population in half by 2016.

Who is eligible for Medicaid? There are some mandatory eligibility groups such as low-income families, individuals receiving Supplemental Security Income (SSI), and qualified pregnant women and children. Modified Adjusted Gross Income (MAGI) is used to determine financial eligibility for Medicaid and considers taxable income and tax filing relationships. Additionally, individuals must also be residents of the state they are receiving Medicaid from and are either citizens of the United States or are a certain qualified non-citizen, such as a permanent resident. Some eligibility groups are limited by age, pregnancy, or parenting status. Lastly, states can establish a “medically needy program” for individuals whose income is too high to qualify for Medicaid but can still become eligible by “spending down” or incurring expenses for medical care for which they do not have health insurance.

Individuals who are interested in enrolling in Medicaid should look into their own state’s program to see if they qualify and how to apply.

Of these states, seven have state-expanded Medicaid: California, New York, Pennsylvania, Illinois, Ohio, Michigan, and Washington.

California has the highest number of Medicaid-enrolled individuals with 10,390,661. California has a total of 11,625,691 individuals in Medicaid and Children’s Health Insurance Programs (CHIP), an almost 50% increase since the first Marketplace Open Enrollment Period in October of 2013.

Here are the 10 states with the highest Medicaid enrollment:

  1. California (10,390,661)
  2. New York (5,853,034)
  3. Florida (3,919,790)
  4. Texas (3,563,308)
  5. Pennsylvania (2,746,288)
  6. Illinois (2,533,771)
  7. Ohio (2,448,538)
  8. Michigan (2,217,663)
  9. North Carolina (1,762,569)
  10. Washington (1,643,705)

Medicaid Enrollment by State 2020

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Medicaid Enrollment by State 2020

* CHIP stands for Children’s Health Insurance Programs.
State Medicaid Enrollment CHIP Enrollment Total Medicaid and CHIP Enrollment State Expanded Medicaid 2020 Pop.
Alabama739,890170,440910,330No4,908,620
Alaska204,82015,521220,341Yes734,002
Arizona1,604,805100,8741,705,679Yes7,378,490
Arkansas752,20688,896841,102Yes3,039,000
California10,390,6611,295,35911,686,020Yes39,937,500
Colorado1,200,23181,5231,281,754Yes5,845,530
Connecticut838,67319,870858,543Yes3,563,080
Delaware236,14611,203247,349Yes982,895
Florida3,919,790238,2324,158,022No21,993,000
Georgia1,600,621205,2631,805,884No10,736,100
Hawaii303,63025,269328,899Yes1,412,690
Idaho247,85525,524273,379No1,826,160
Illinois2,533,771262,1672,795,938Yes12,659,700
Indiana1,338,637109,8511,448,488Yes6,745,350
Iowa616,46976,308692,777Yes3,179,850
Kansas315,09654,934370,030No2,910,360
Kentucky1,120,95388,8061,209,759Yes4,499,690
Louisiana1,245,991111,2881,357,279Yes4,645,180
Maine245,79210,970256,762No1,345,790
Maryland1,161,567151,5031,313,070Yes6,083,120
Massachusetts1,380,954181,8581,562,812Yes6,976,600
Michigan2,217,66360,7282,278,391Yes10,045,000
Minnesota1,026,1641,1501,027,314Yes5,700,670
Mississippi534,12275,976610,098No2,989,260
Missouri807,84232,818840,660No6,169,270
Montana242,04429,051271,095Yes1,086,760
Nebraska207,68133,060240,741No1,952,570
Nevada589,76941,743631,512Yes3,139,660
New Hampshire161,38614,565175,951Yes1,371,250
New Jersey1,474,578221,0321,695,610Yes8,936,570
New Mexico692,47736,679729,156Yes2,096,640
New York5,853,034665,5976,518,631Yes19,440,500
North Carolina1,762,569263,7132,026,282No10,611,900
North Dakota88,0102,09790,107Yes761,723
Ohio2,448,538199,2462,647,784Yes11,747,700
Oklahoma658,696117,736776,432No3,954,820
Oregon852,567128,104980,671Yes4,301,090
Pennsylvania2,746,288183,4312,929,719Yes12,820,900
Rhode Island269,80731,828301,635Yes1,056,160
South Carolina944,73689,6791,034,415No5,210,100
South Dakota100,31815,612115,930No903,027
Tennessee1,402,41752,8361,455,253No6,897,580
Texas3,563,308613,9754,177,283No29,472,300
Utah264,67441,607306,281No3,282,120
Vermont150,0224,287154,309Yes628,061
Virginia1,164,265142,4451,306,710Yes8,626,210
Washington1,643,70566,8131,710,518Yes7,797,100
West Virginia494,86533,140528,005Yes1,778,070
Wisconsin963,22567,8931,031,118No5,851,750
Wyoming50,0534,19254,245No567,025