What are Annual Expenditures for Medicaid & CHIP?

The federal government and states jointly fund and administer Medicaid and the Children’s Health Insurance Program (CHIP). The following data reflect a snapshot of recent annual expenditure statistics, such as expenditures by service category and state. Data are the most recent available, but reporting periods differ by source.

Annual Expenditures (Billions of $) by Payer

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Bar chart with the following values:

Program Amount
Medicaid $566
CHIP $17
Medicare $672
Private Health Insurance $1,123

Source: National Health Expenditures Account Data, Calendar Year 2016

Annual Medicaid Expenditures (Billions of $) by Service Category

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Bar chart with the following values for Fee-for-Service Payments:

Service Payments
Managed Care $228
Long-term care $115
Physician, laboratory, and other services $92
Inpatient services $73
Prescription drugs $11
Administrative $26

Source: 2016 Actuarial Report on the Financial Outlook for Medicaid

Note: Expenditures by service category do not sum to the total expenditures. Total expenditures also include Medicare payments for some beneficiaries and adjustments to prior year payments. Managed care expenditures cover the same services that are delivered via fee-for-service. Data do not permit allocation of managed care expenditures to the different service categories.

Annual Medicaid & CHIP Expenditures by State or Territory, Federal Fiscal Year (FFY) 2016

State Medicaid Services CHIP Administration Total
Alabama $5,435,036,771 $281,520,113 $222,452,083 $5,939,008,967
Alaska $1,785,355,973 $33,422,714 $143,754,108 $1,962,532,795
American Samoa $32,915,150 $2,654,636 $3,615,928 $39,185,714
Arizona $11,118,985,133 $187,958,115 $224,782,269 $11,531,725,517
Arkansas $5,955,864,929 $176,794,592 $381,380,214 $6,514,039,735
California $83,104,262,002 $2,956,010,583 $5,519,670,918 $91,579,943,503
Colorado $7,885,768,808 $256,639,277 $407,466,892 $8,549,874,977
Connecticut $7,344,137,284 $41,236,468 $446,534,611 $7,831,908,363
Delaware $1,883,220,982 $35,164,199 $120,143,896 $2,038,529,077
District Of Columbia $2,761,584,285 $37,799,653 $173,418,007 $2,972,801,945
Florida $21,689,957,388 $646,540,015 $769,286,722 $23,105,784,125
Georgia $9,723,814,007 $364,395,495 $560,090,198 $10,648,299,700
Guam $66,863,899 $26,016,366 $2,933,619 $95,813,884
Hawaii $2,156,012,061 $53,958,577 $115,874,291 $2,325,844,929
Idaho $1,689,500,076 $74,957,440 $105,484,116 $1,869,941,632
Illinois $19,178,940,763 $565,598,945 $991,851,983 $20,736,391,691
Indiana $10,371,904,061 $172,042,003 $529,110,515 $11,073,056,579
Iowa $4,716,461,091 $144,712,644 $197,788,661 $5,058,962,396
Kansas $3,252,725,194 $123,499,910 $168,455,233 $3,544,680,337
Kentucky $9,609,364,927 $243,296,780 $284,263,480 $10,136,925,187
Louisiana $8,536,666,882 $344,030,590 $300,561,302 $9,181,258,774
Maine $2,490,164,925 $33,445,535 $146,278,926 $2,669,889,386
Maryland $10,398,319,397 $305,909,726 $420,914,463 $11,125,143,586
Massachusetts $16,990,908,511 $696,067,874 $874,582,346 $18,561,558,731
Michigan $16,714,754,874 $244,191,301 $723,926,464 $17,682,872,639
Minnesota $10,893,812,759 $27,197,060 $651,146,125 $11,572,155,944
Mississippi $5,397,714,759 $287,782,915 $165,698,679 $5,851,196,353
Missouri $9,811,515,212 $164,798,069 $390,426,461 $10,366,739,742
Montana $1,361,662,906 $95,778,564 $84,036,816 $1,541,478,286
North Mariana Islands $36,052,090 $6,356,935 $513,754 $42,922,779
Nebraska $1,968,891,548 $73,699,267 $124,102,317 $2,166,693,132
Nevada $3,335,480,165 $64,093,958 $184,941,154 $3,584,515,277
New Hampshire $1,948,727,991 $26,378,638 $127,861,342 $2,102,967,971
New Jersey $14,319,021,372 $481,171,694 $761,335,456 $15,561,528,522
New Mexico $5,339,766,195 $123,593,398 $197,271,778 $5,660,631,371
New York $60,995,857,591 $1,275,167,259 $1,913,661,718 $64,184,686,568
North Carolina $12,157,764,904 $436,914,847 $663,400,490 $13,258,080,241
North Dakota $1,162,904,244 $22,022,527 $140,558,672 $1,325,485,443
Ohio $21,473,065,804 $384,089,847 $914,668,182 $22,771,823,833
Oklahoma $4,460,334,118 $244,529,408 $238,393,330 $4,943,256,856
Oregon $8,316,707,109 $231,899,303 $497,288,977 $9,045,895,389
Pennsylvania $27,350,279,117 $535,066,835 $870,028,676 $28,755,374,628
Puerto Rico $2,393,857,978 $190,038,591 $68,629,903 $2,652,526,472
Rhode Island $2,411,382,026 $75,579,994 $215,299,888 $2,702,261,908
South Carolina $5,941,185,838 $139,155,360 $289,337,100 $6,369,678,298
South Dakota $832,399,125 $27,104,421 $43,072,951 $902,576,497
Tennessee $9,463,742,287 $471,767,608 $464,727,139 $10,400,237,034
Texas $39,563,147,154 $1,334,857,460 $1,505,039,988 $42,403,044,602
Utah $2,100,346,398 $121,901,908 $148,240,339 $2,370,488,645
Vermont $1,679,425,056 $9,767,241 $88,811,281 $1,778,003,578
Virgin Islands $57,817,182 $6,821,662 $20,846,424 $85,485,268
Virginia $8,498,905,069 $300,638,902 $428,293,526 $9,227,837,497
Washington $10,787,810,275 $161,909,166 $670,225,669 $11,619,945,110
West Virginia $3,655,890,862 $55,370,926 $157,725,484 $3,868,987,272
Wisconsin $7,626,998,105 $187,351,662 $399,423,821 $8,213,773,588
Wyoming $573,809,794 $13,113,804 $63,463,949 $650,387,547
United States $550,809,764,406 $15,623,782,780 $26,323,092,634 $592,756,639,820

Source: Expenditure Reports from the Medicaid Budget and Expenditure System/State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES)

Note: Mathematica calculated the total dollar amounts through analysis of Federal Fiscal Year (FFY) 2016 CMS-64 data from the Medicaid Budget & Expenditure System (MBES). The amounts include total net Medicaid, CHIP, and administrative expenditures.