Medicaid & CHIP
This category provides information about the states health coverage programs for the low-income, including Medicaid and the Children's Health Insurance Program (CHIP). Includes topics such as enrollment, eligibility requirements, managed care participation, spending and federal matching amounts, and enrollment practices.
Select a subcategory on the left to see how the indicators compare across the states. Results will be shown as a table, map, or trend graph as available.
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categories & subcategories
Medicaid & CHIP Indicators
Medicaid Spending
- Total Medicaid Spending
- Medicaid Expansion Spending
- Distribution of Medicaid Spending by Service
- Distribution of Fee-for-Service Medicaid Spending on Acute Care
- Distribution of Fee-for-Service Medicaid Spending on Long Term Care
- Average Annual Growth in Medicaid Spending
- Federal and State Share of Medicaid Spending
- Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier
- Federal Medicaid Disproportionate Share Hospital (DSH) Allotments
Section 1115 Medicaid Waivers
Medicaid Spending and Enrollment by Enrollment Group
- Medicaid Spending by Enrollment Group
- Medicaid Spending per Enrollee (Full or Partial Benefit)
- Medicaid Spending Per Full-Benefit Enrollee
- Medicaid Enrollees by Enrollment Group
- Full-Benefit Medicaid Enrollees by Enrollment Group
- Average Growth in Annual Medicaid Spending from FY2000 to FY2011 for Full-Benefit Enrollees
Current Medicaid & CHIP Enrollment
Coverage under the Medicaid Expansion
Medicaid and CHIP Participation Rates
Medicaid/CHIP Eligibility Limits
- Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
- Medicaid/CHIP Coverage of Lawfully-Residing Immigrant Children and Pregnant Women
Trends in Medicaid Income Eligibility Limits
Trends in Income Eligibility Limits for Adults
Trends in Income Eligibility Limits for Children
- Medicaid/CHIP Upper Income Eligibility Limits for Children, 2000-2018
- Medicaid Income Eligibility Limits for Infants Ages 0 – 1, 2000-2018
- Medicaid Income Eligibility Limits for Children Ages 1 – 5, 2000-2018
- Medicaid Income Eligibility Limits for Children Ages 6-18, 2000-2018
- Separate Children’s Health Insurance Program (CHIP) Income Eligibility Limits for Children, 2000-2018
Medicaid Eligibility for Seniors, People with Disabilities, and the Medically Needy
Application and Enrollment Systems
Streamlined Enrollment & Renewal Practices
Premium & Cost-Sharing Requirements
- Premiums, Enrollment Fees, and Cost-Sharing Requirements for Children
- Cost-Sharing Amounts for Selected Services for Children at Selected Income Levels
- Cost-Sharing Amounts for Prescription Drugs for Children at Selected Income Levels
- Cost-Sharing Requirements for Selected Medicaid Services for Section 1931 Parents
- Premium and Cost-Sharing Requirements for Selected Services for Medicaid Adults
Medicaid Beneficiaries
Medicaid Physician Fees
SSI Beneficiaries
Dual Eligibles
- Distribution of Medicaid Spending for Dual Eligibles by Service (in Millions)
- Dual Eligibles’ Share of Medicaid Spending
- Medicaid Spending per Dual Eligible per Year
- Number of Dual Eligible Beneficiaries
- Dual Eligible Beneficiaries by Race/Ethnicity
- Dual Eligibles as a Percent of Total Medicare Beneficiaries
- Dual Eligibles as a Percent of Total Medicaid Beneficiaries
- Aged and Disabled Dual Eligibles as a Percent of Total Medicaid Beneficiaries
Medicaid Managed Care Market Tracker
Medicaid Managed Care State-Level Data
- Total Medicaid MCOs
- Total Medicaid MCO Enrollment
- Annual Change in Total Medicaid MCO Enrollment
- Share of Medicaid Population Covered under Different Delivery Systems
- Medicaid Managed Care Penetration Rates by Eligibility Group
- Total Medicaid MCO Spending
- Medicaid MCO Access Standards: Primary Care
- Medicaid MCO Access Standards: Specialty Care
- Total Medicaid Enrollment in Managed Long-Term Services and Supports (MLTSS)
- Medicaid Managed Care Expansion Activity
- Medicaid Managed Care Quality Initiatives
- Minimum Medical Loss Ratio (MLR) Policies for MCOs
Medicaid MCO-Level Data
Medicaid Managed Care Trend Data
Medicaid Delivery System Reform
Home and Community-Based Services
- Medicaid Home Health Participants
- Medicaid Home Health Expenditures ($, in thousands)
- Medicaid Personal Care Services Participants
- Medicaid Personal Care Services Expenditures ($, in thousands)
- Total Number of Medicaid Section 1915(c) Home and Community-Based Services Waivers
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Expenditures ($, in thousands)
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants, by Type of Waiver
- Medicaid Section 1915(c) Home and Community-Based Service Waiver Expenditures, by Type of Waiver ($, in thousands)
- Total Aged and Aged/Disabled Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants
- Total Aged and Aged/Disabled Medicaid Section 1915(c) Home and Community-Based Services Waivers Expenditures ($, in thousands)
- Waiting List Enrollment for Medicaid Section 1915(c) Home and Community-Based Services Waivers
Births Financed by Medicaid
Children's Health Insurance Program (CHIP)
Corrections-Related Medicaid Policies
Opioids-Related Medicaid Policies
- States Reporting Adoption of the CDC Opioid Prescribing Guideline
- States Reporting Medicaid FFS Pharmacy Benefit Management Strategies for Naloxone In Place
- States Reporting Medicaid Coverage of Medication Assisted Treatment (MAT) Drugs
- States Reporting Medicaid FFS Pharmacy Benefit Management Strategies for Opioids In Place
Medicaid Coverage of Preventive Services
Medicaid Policy Action Trends
Medicaid Eligibility Changes
Medicaid Benefit Changes
Medicaid Pharmacy Policies and Policy Changes
Medicaid Long Term Care Changes
Medicaid Provider Rate Changes
Medicaid Provider Taxes or Fees
Medicaid Benefits
Institutional and Clinic Services
- Medicaid Benefits: Federally Qualified Health Center Services
- Medicaid Benefits: Freestanding Ambulatory Surgery Center (Clinic Services by an Organized Facility or Clinic not part of a Hospital)
- Medicaid Benefits: Freestanding Birth Center Services
- Medicaid Benefits: Inpatient Hospital Services, other than in an Institution for Mental Diseases
- Medicaid Benefits: Outpatient Hospital Services
- Medicaid Benefits: Public Health and Mental Health Clinics (Clinic Services by an Organized Facility or Clinic not part of a Hospital)
- Medicaid Benefits: Rehabilitation Services – Mental Health and Substance Abuse
- Medicaid Benefits: Rural Health Clinic Services
Practitioner Services
- Medicaid Benefits: Certified Registered Nurse Anesthetist Services
- Medicaid Benefits: Chiropractor Services
- Medicaid Benefits: Dental Services
- Medicaid Benefits: Medical/Surgical Services of a Dentist
- Medicaid Benefits: Nurse Midwife Services
- Medicaid Benefits: Nurse Practitioner Services
- Medicaid Benefits: Optometrist Services
- Medicaid Benefits: Physician Services
- Medicaid Benefits: Podiatrist Services
- Medicaid Benefits: Psychologist Services
Prescription Drugs
Physical Therapy and Other Services
Products and Devices
Transportation Services
Other Services
Long-Term Care: Home and Community Based Care
- Medicaid Benefits: Home and Community-Based Services Waiver
- Medicaid Benefits: Home Health Services, includes nursing services, home health aides, and medical supplies/equipment
- Medicaid Benefits: Hospice Care
- Medicaid Benefits: Personal Care Services
- Medicaid Benefits: Private Duty Nursing Services
- Medicaid Benefits: Program of All-Inclusive Care for the Elderly PACE)
Long-Term Care: Institutional Care
- Medicaid Benefits: Inpatient Hospital and Nursing Facility Services In Institutions for Mental Diseases, age 65 and older
- Medicaid Benefits: Inpatient Psychiatric Services, under age 21
- Medicaid Benefits: Intermediate Care Facility Services for Individuals with Intellectual Disabilities
- Medicaid Benefits: Nursing Facility Services, other than in an Institution for Mental Diseases
- Medicaid Benefits: Religious Non-Medical Health Care Institution and Practitioner Services
