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Medicaid Enrollment by State 2022

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 (10,860,126)
  2. New York (5,863,440)
  3. Texas (4,034,937)
  4. Georgia (3,805,520)
  5. Pennsylvania (2,980,867)
  6. Indiana (2,787,617)
  7. Ohio (2,687,107)
  8. Michigan (2,476,774)
  9. Arizona (1,791,620)
  10. Washington (1,779,628)

Medicaid Enrollment by State 2022

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Medicaid Enrollment by State 2022

* CHIP stands for Children’s Health Insurance Programs.
State Medicaid Enrollment CHIP Enrollment Total Medicaid and CHIP Enrollment State Expanded Medicaid 2022 Pop.
California10,860,1261,288,39512,148,521Yes39,995,077
New York5,863,440612,1646,475,604Yes20,365,879
Texas4,034,9374,2844,039,221*29,945,493
Georgia3,805,520201,2004,006,720*10,916,760
Pennsylvania2,980,86730,2563,011,123Yes13,062,764
Indiana2,787,617109,7052,897,322Yes6,845,874
Ohio2,687,107194,6092,881,716Yes11,852,036
Michigan2,476,77458,6452,535,419Yes10,116,069
Arizona1,791,62011,8081,803,428Yes7,303,398
Washington1,779,62870,7211,850,349Yes7,901,429
Hawaii1,775,878228,2842,004,162Yes1,474,265
North Carolina1,630,963288,8911,919,854*10,620,168
New Jersey1,599,175239,7521,838,927Yes9,388,414
Iowa1,568,59580,2081,648,803Yes3,219,171
Louisiana1,515,189135,0511,650,240Yes4,682,633
Massachusetts1,470,883192,3371,663,220Yes7,126,375
Kentucky1,429,31293,7541,523,066Yes4,539,130
Tennessee1,407,07640,0401,447,116*7,023,788
Virginia1,399,566158,6181,558,184Yes8,757,467
Colorado1,335,30873,9841,409,292Yes5,922,618
Maryland1,270,497143,0201,413,517Yes6,257,958
Minnesota1,125,1221,2921,126,414Yes5,787,008
Wisconsin1,094,49770,4631,164,960*5,935,064
South Carolina987,085128,6851,115,770*5,217,037
South Dakota987,085591,4961,578,581*901,165
Oregon959,953177,9441,137,897Yes4,318,492
Missouri934,62040,380975,000*6,188,111
Connecticut881,30819,469900,777Yes3,612,314
Arkansas818,31434,902853,216Yes3,030,646
Alabama809,149174,019983,168*5,073,187
New Mexico755,66539,731795,396Yes2,129,190
Oklahoma704,453129,281833,734*4,000,953
Nevada684,41338,203722,616Yes3,185,426
Mississippi574,67781,477656,154*2,960,075
West Virginia507,42133,782541,203Yes1,781,860
Kansas352,43164,431416,862*2,954,832
Idaho342,56925,391367,960Yes1,893,410
Illinois330,27727,069357,346Yes12,808,884
Utah325,282158,618483,900*3,373,162
Rhode Island285,20198,316383,517Yes1,106,341
Florida238,91917,381256,300*22,085,563
Montana236,79626,703263,499Yes1,103,187
Delaware235,64511,175246,820Yes1,008,350
Nebraska232,32034,418266,738*1,988,536
Maine226,05612,888238,944Yes1,369,159
Alaska221,92613,674235,600Yes738,023
New Hampshire186,58915,224201,813Yes1,389,741
Vermont162,13870,721232,859Yes646,545
North Dakota99,9732,486102,459Yes800,394
Wyoming58,1274,51662,643*579,495

Medicaid Enrollment by State 2022

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