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.

The ten states with the highest Medicaid enrollment are:

  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)

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.

Below is a table with each state’s total number of individuals enrolled in Medicaid and CHIP.

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.
Alabama739,890170,440910,330No4,908,621
Alaska204,82015,521220,341Yes734,002
Arizona1,604,805100,8741,705,679Yes7,378,494
Arkansas752,20688,896841,102Yes3,038,999
California10,390,6611,295,35911,686,020Yes39,937,489
Colorado1,200,23181,5231,281,754Yes5,845,526
Connecticut838,67319,870858,543Yes3,563,077
Delaware236,14611,203247,349Yes982,895
District of Columbia240,79516,827257,622Yes720,687
Florida3,919,790238,2324,158,022No21,992,985
Georgia1,600,621205,2631,805,884No10,736,059
Hawaii303,63025,269328,899Yes1,412,687
Idaho247,85525,524273,379No1,826,156
Illinois2,533,771262,1672,795,938Yes12,659,682
Indiana1,338,637109,8511,448,488Yes6,745,354
Iowa616,46976,308692,777Yes3,179,849
Kansas315,09654,934370,030No2,910,357
Kentucky1,120,95388,8061,209,759Yes4,499,692
Louisiana1,245,991111,2881,357,279Yes4,645,184
Maine245,79210,970256,762No1,345,790
Maryland1,161,567151,5031,313,070Yes6,083,116
Massachusetts1,380,954181,8581,562,812Yes6,976,597
Michigan2,217,66360,7282,278,391Yes10,045,029
Minnesota1,026,1641,1501,027,314Yes5,700,671
Mississippi534,12275,976610,098No2,989,260
Missouri807,84232,818840,660No6,169,270
Montana242,04429,051271,095Yes1,086,759
Nebraska207,68133,060240,741No1,952,570
Nevada589,76941,743631,512Yes3,139,658
New Hampshire161,38614,565175,951Yes1,371,246
New Jersey1,474,578221,0321,695,610Yes8,936,574
New Mexico692,47736,679729,156Yes2,096,640
New York5,853,034665,5976,518,631Yes19,440,469
North Carolina1,762,569263,7132,026,282No10,611,862
North Dakota88,0102,09790,107Yes761,723
Ohio2,448,538199,2462,647,784Yes11,747,694
Oklahoma658,696117,736776,432No3,954,821
Oregon852,567128,104980,671Yes4,301,089
Pennsylvania2,746,288183,4312,929,719Yes12,820,878
Rhode Island269,80731,828301,635Yes1,056,161
South Carolina944,73689,6791,034,415No5,210,095
South Dakota100,31815,612115,930No903,027
Tennessee1,402,41752,8361,455,253No6,897,576
Texas3,563,308613,9754,177,283No29,472,295
Utah264,67441,607306,281No3,282,115
Vermont150,0224,287154,309Yes628,061
Virginia1,164,265142,4451,306,710Yes8,626,207
Washington1,643,70566,8131,710,518Yes7,797,095
West Virginia494,86533,140528,005Yes1,778,070
Wisconsin963,22567,8931,031,118No5,851,754
Wyoming50,0534,19254,245No567,025