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World Health Systems Facts

Medicaid Enrollment

Medicaid Overview

Eligibility

Enrollment

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“93,876,834 individuals were enrolled in Medicaid and CHIP in the 50 states and the District of Columbia that reported enrollment data for March 2023.

  • “86,714,574 individuals were enrolled in Medicaid.
  • “7,162,260 individuals were enrolled in CHIP.

“42,138,832 individuals were enrolled in CHIP or were children enrolled in the Medicaid program in the 49 states and the District of Columbia that reported child enrollment data for March 2023 representing 46% of total Medicaid and CHIP program enrollment.”

Source: March 2023 Medicaid & CHIP Enrollment Data Highlights. Medicaid.gov. Last accessed July 2, 2023.


“The implementation of the ACA Medicaid expansion in 2014 contributed to Medicaid enrollment increasing by an estimated 8.8% in FY2014 and 7.2% in FY2015. The growth in Medicaid enrollment is estimated to have slowed to 3.3% in FY2016, 1.7% in FY2017, 0.7% in FY2018, and 0.0% in FY2019.32 States attribute the slowing in Medicaid enrollment growth from FY2016- FY2019 to improving economic conditions and barriers to enrollment (e.g., periodic eligibility checks between renewals) in some states.33

“During the Coronavirus Disease 2019 (COVID-19) public health emergency period, Medicaid enrollment has increased by 1.9% in FY2020 and 14.6% in FY2021.34 Initially, the recession at the beginning of the pandemic increased the rate of growth for Medicaid enrollment.35 Since then, the continuous coverage requirement for the Family First Coronavirus Response Act (FFCRA; P.L. 116-127) federal medical assistance percentage (FMAP) increase has driven the Medicaid enrollment increases (see the “Federal Share” for more information about FMAP and this increase).36“

Source: Alison Mitchell, et al. Medicaid: An Overview. CRS R43357. Congressional Research Service: Washington, DC. Updated Feb 8, 2023, last accessed July 7, 2023.


Please note: If you landed on this page looking to purchase a health insurance plan for yourself or your family, then you should check out Healthcare.gov or Medicare.gov.


Medicaid: Enrollment - US Healthcare - National Policies - World Health Systems Facts

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World Health Systems Facts is a project of the Real Reporting Foundation. We provide reliable statistics and other data from authoritative sources regarding health systems and policies in the US and sixteen other nations.

Page last updated March 17, 2025 by Doug McVay, Editor.

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