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Medicaid Enrollment By State 2021

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 2021

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Medicaid Enrollment By State 2021

* CHIP stands for Children’s Health Insurance Programs.
State Medicaid Enrollment CHIP Enrollment Total Medicaid and CHIP Enrollment State Expanded Medicaid 2021 Pop.
Alabama809,149174,019983,168*4,934,193
Alaska221,92613,674235,600Yes724,357
Arizona1,791,62011,8081,803,428Yes7,520,103
Arkansas818,31434,902853,216Yes3,033,946
California10,860,1261,288,39512,148,521Yes39,613,493
Colorado1,335,30873,9841,409,292Yes5,893,634
Connecticut881,30819,469900,777Yes3,552,821
Delaware235,64511,175246,820Yes990,334
Florida238,91917,381256,300*21,944,577
Georgia3,805,520201,2004,006,720*10,830,007
Hawaii1,775,878228,2842,004,162Yes1,406,430
Idaho342,56925,391367,960Yes1,860,123
Illinois330,27727,069357,346Yes12,569,321
Indiana2,787,617109,7052,897,322Yes6,805,663
Iowa1,568,59580,2081,648,803Yes3,167,974
Kansas352,43164,431416,862*2,917,224
Kentucky1,429,31293,7541,523,066Yes4,480,713
Louisiana1,515,189135,0511,650,240Yes4,627,002
Maine226,05612,888238,944Yes1,354,522
Maryland1,270,497143,0201,413,517Yes6,065,436
Massachusetts1,470,883192,3371,663,220Yes6,912,239
Michigan2,476,77458,6452,535,419Yes9,992,427
Minnesota1,125,1221,2921,126,414Yes5,706,398
Mississippi574,67781,477656,154*2,966,407
Missouri934,62040,380975,000*6,169,038
Montana236,79626,703263,499Yes1,085,004
Nebraska232,32034,418266,738*1,951,996
Nevada684,41338,203722,616Yes3,185,786
New Hampshire186,58915,224201,813Yes1,372,203
New Jersey1,599,175239,7521,838,927Yes8,874,520
New Mexico755,66539,731795,396Yes2,105,005
New York5,863,440612,1646,475,604Yes19,299,981
North Carolina1,630,963288,8911,919,854*10,701,022
North Dakota99,9732,486102,459Yes770,026
Ohio2,687,107194,6092,881,716Yes11,714,618
Oklahoma704,453129,281833,734*3,990,443
Oregon959,953177,9441,137,897Yes4,289,439
Pennsylvania2,980,86730,2563,011,123Yes12,804,123
Rhode Island285,20198,316383,517Yes1,061,509
South Carolina987,085128,6851,115,770*5,277,830
South Dakota987,085591,4961,578,581*896,581
Tennessee1,407,07640,0401,447,116*6,944,260
Texas4,034,9374,2844,039,221*29,730,311
Utah325,282158,618483,900*3,310,774
Vermont162,13870,721232,859Yes623,251
Virginia1,399,566158,6181,558,184Yes8,603,985
Washington1,779,62870,7211,850,349Yes7,796,941
West Virginia507,42133,782541,203Yes1,767,859
Wisconsin1,094,49770,4631,164,960*5,852,490
Wyoming58,1274,51662,643*581,075

Medicaid Enrollment By State 2021