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California
12,668,401
New York
6,789,092
Texas
5,374,020
Florida
4,752,201
Illinois
3,504,288
Pennsylvania
3,393,728
Ohio
3,095,655
Michigan
2,884,050
Georgia
2,140,554
Arizona
2,140,101
Washington
2,076,212
North Carolina
2,015,494
New Jersey
1,915,986
Indiana
1,854,167
Virginia
1,789,655
Massachusetts
1,756,147
Louisiana
1,701,803
Tennessee
1,622,963
Colorado
1,581,704
Maryland
1,509,033
Kentucky
1,474,969
Missouri
1,375,480
Minnesota
1,342,491
Wisconsin
1,322,948
Oregon
1,181,538
South Carolina
1,179,802
Oklahoma
1,150,917
Arkansas
992,158
Connecticut
987,049
Alabama
964,161
New Mexico
832,045
Nevada
807,777
Iowa
771,816
Mississippi
678,035
West Virginia
607,347
Utah
442,086
Hawaii
431,737
Kansas
429,949
Idaho
407,741
Maine
358,750
Nebraska
341,438
Rhode Island
324,136
Montana
294,001
Delaware
291,405
DC
273,888
Alaska
251,627
New Hampshire
222,692
Vermont
186,989
South Dakota
125,005
North Dakota
124,446
Wyoming
76,065

Medicaid Enrollment by State [Updated May 2023]

Medicaid Enrollment by State [Updated May 2023]

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 certain qualified non-citizens, such as permanent residents. 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.

California has the highest number of Medicaid-enrolled individuals with 12,668,401. California has a total of 13,959,148 individuals in Medicaid and Children’s Health Insurance Programs (CHIP), an almost 50% increase since the first Marketplace Open Enrollment Period in October 2013. New York, Texas, Florida, and Illinois also have large numbers of Medicare-enrolled individuals.

Almost all states have expanded Medicare coverage at the state level. The only ones who have not are Texas, Florida, Georgia, North Carolina, Tennessee, Wisconsin, South Carolina, Alabama, Mississippi, Kansas, South Dakota, and Wyoming.

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.

Here are the 10 states with the highest Medicaid enrollment:

  1. California: 12,668,401
  2. New York: 6,789,092
  3. Texas: 5,374,020
  4. Florida: 4,752,201
  5. Illinois: 3,504,288
  6. Pennsylvania: 3,393,728
  7. Ohio: 3,095,655
  8. Michigan: 2,884,050
  9. Georgia: 2,140,554
  10. Arizona: 2,140,101

Medicaid Enrollment by State [Updated May 2023]

Medicaid Enrollment by State [Updated May 2023]

Note: All Medicaid and CHIP data as per Nov 01, 2022.

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Medicaid Enrollment by State [Updated May 2023]

Sources