Who Enrolls in Medicaid & CHIP?

VISIT THE PILLAR: National Context

National Context

State Health System Performance

State Administrative Accountability

Federal Administrative Accountability

Medicaid and the Children’s Health Insurance Program (CHIP) provide health coverage to millions of Americans, including eligible:

Children
- As of April 2019, 35,119,461 children were enrolled in Medicaid or CHIP. Learn more about child enrollment by state.
Pregnant women
- Medicaid and CHIP cover about 45% of births in the United States. Please refer to the Maternal and Infant Health Care Quality page for more information.
Low-income adults
- As of September 2017, 16,990,561 individuals were enrolled in Medicaid through the expansion of coverage to low-income adults. Learn more about Medicaid expansion adult enrollment by state.
Elderly adults and people with disabilities
- As of September December 2018, 7,716,557 individuals were eligible for full Medicaid benefits and were also eligible for Medicare due to age and/or disability. Learn more about dual-eligible enrollment by state.

The following data show recent enrollment statistics, such as enrollment by age, sex, and state. The eligibility criteria for Medicaid and CHIP vary across states and influence states’ total enrollment and the populations that enroll. For more information on state-specific eligibility criteria, please refer to the Medicaid, CHIP, and Basic Health Plan Eligibility Levels page.

Total Medicaid & CHIP Enrollment

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Total National Medicaid & CHIP enrollment is 72,934,962.

Total Medicaid & CHIP Enrollment US Map with the categories and values described in the table below.

State	Total Medicaid and CHIP Enrollment
Alabama	300,000 to 1 million
Alaska	Less than 300,000
Arizona	1 million to 2 million
Arkansas	300,000 to 1 million
California	Over 2 million
Colorado	1 million to 2 million
Connecticut	300,000 to 1 million
Delaware	Less than 300,000
District of Columbia	Less than 300,000
Florida	Over 2 million
Georgia	1 million to 2 million
Hawaii	300,000 to 1 million
Idaho	Less than 300,000
Illinois	Over 2 million
Indiana	1 million to 2 million
Iowa	300,000 to 1 million
Kansas	300,000 to 1 million
Kentucky	1 million to 2 million
Louisiana	1 million to 2 million
Maine	Less than 300,000
Maryland	1 million to 2 million
Massachusetts	1 million to 2 million
Michigan	Over 2 million
Minnesota	1 million to 2 million
Mississippi	300,000 to 1 million
Missouri	300,000 to 1 million
Montana	Less than 300,000
Nebraska	Less than 300,000
Nevada	300,000 to 1 million
New Hampshire	Less than 300,000
New Jersey	1 million to 2 million
New Mexico	300,000 to 1 million
New York	Over 2 million
North Carolina	Over 2 million
North Dakota	Less than 300,000
Ohio	Over 2 million
Oklahoma	300,000 to 1 million
Oregon	300,000 to 1 million
Pennsylvania	Over 2 million
Rhode Island	300,000 to 1 million
South Carolina	1 million to 2 million
South Dakota	Less than 300,000
Tennessee	1 million to 2 million
Texas	Over 2 million
Utah	300,000 to 1 million
Vermont	Less than 300,000
Virginia	1 million to 2 million
Washington	1 million to 2 million
West Virginia	300,000 to 1 million
Wisconsin	1 million to 2 million
Wyoming	Less than 300,000

Source: Medicaid and CHIP Performance Indicators: Updated April 2019.

Annual Enrollment (in Millions) by Payer

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Annual Enrollment (in Millions) by Payer Bar Graph with the categories and values. Values provided in the following table.

Source: National Health Expenditures Account Data, Calendar Year 2017

Note: The total Medicaid and CHIP enrollment in this figure does not match the Total Medicaid and CHIP Enrollment above due to differences in source and data period.

Share of Medicaid & CHIP Population by Age

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Source: Analysis of calendar year 2017 T-MSIS Analytic Files, v 3.0

Share of Medicaid & CHIP Population by Sex

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Source: Analysis of calendar year 2017 T-MSIS Analytic Files, v 3.0

Medicaid & CHIP Child Enrollment

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Medicaid and CHIP Child Enrollment US Map with the categories and values. Described in the following table.

State	Medicaid and CHIP Child Enrollment
Alabama	500,000 to 1 million
Alaska	Less than 200,000
Arizona	Not available
Arkansas	200,000 to 500,000
California	Over 1 million
Colorado	500,000 to 1 million
Connecticut	200,000 to 500,000
Delaware	Less than 200,000
District of Columbia	Not available
Florida	Over 1 million
Georgia	Over 1 million
Hawaii	Less than 200,000
Idaho	Less than 200,000
Illinois	Over 1 million
Indiana	500,000 to 1 million
Iowa	200,000 to 500,000
Kansas	200,000 to 500,000
Kentucky	500,000 to 1 million
Louisiana	500,000 to 1 million
Maine	Less than 200,000
Maryland	500,000 to 1 million
Massachusetts	500,000 to 1 million
Michigan	500,000 to 1 million
Minnesota	500,000 to 1 million
Mississippi	200,000 to 500,000
Missouri	500,000 to 1 million
Montana	Less than 200,000
Nebraska	Less than 200,000
Nevada	200,000 to 500,000
New Hampshire	Less than 200,000
New Jersey	500,000 to 1 million
New Mexico	200,000 to 500,000
New York	Over 1 million
North Carolina	Over 1 million
North Dakota	Less than 200,000
Ohio	Over 1 million
Oklahoma	500,000 to 1 million
Oregon	200,000 to 500,000
Pennsylvania	Over 1 million
Rhode Island	Less than 200,000
South Carolina	500,000 to 1 million
South Dakota	Less than 200,000
Tennessee	Not available
Texas	Over 1 million
Utah	Less than 200,000
Vermont	Less than 200,000
Virginia	500,000 to 1 million
Washington	500,000 to 1 million
West Virginia	200,000 to 500,000
Wisconsin	500,000 to 1 million
Wyoming	Less than 200,000

Source: Medicaid and CHIP Performance Indicators: Updated April 2019.

Note: The following states did not report data to CMS or the data did not align with CMS’s specifications: AZ, DC, and TN.

Medicaid Expansion Adult Enrollment

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Medicaid Expansion Adult Enrollment US Map with the categories and values. Description in the following table.

State	Medicaid Expansion Adult Enrollment
Alabama	Non-expansion state
Alaska	Less than 100,000
American Samoa	Non-expansion state
Arizona	100,000 to 500,000
Arkansas	100,000 to 500,000
California	Over 500,000
Colorado	100,000 to 500,000
Connecticut	100,000 to 500,000
Delaware	Less than 100,000
District Of Columbia	100,000 to 500,000
Florida	Non-expansion state
Georgia	Non-expansion state
Guam	Less than 100,000
Hawaii	100,000 to 500,000
Idaho	Non-expansion state
Illinois	Over 500,000
Indiana	100,000 to 500,000
Iowa	100,000 to 500,000
Kansas	Non-expansion state
Kentucky	100,000 to 500,000
Louisiana	100,000 to 500,000
Maine	Non-expansion state
Maryland	100,000 to 500,000
Massachusetts	100,000 to 500,000
Michigan	Over 500,000
Minnesota	100,000 to 500,000
Mississippi	Non-expansion state
Missouri	Non-expansion state
Montana	Less than 100,000
N. Mariana Islands	Non-expansion state
Nebraska	Non-expansion state
Nevada	100,000 to 500,000
New Hampshire	Less than 100,000
New Jersey	Over 500,000
New Mexico	100,000 to 500,000
New York	Over 500,000
North Carolina	Non-expansion state
North Dakota	Less than 100,000
Ohio	Over 500,000
Oklahoma	Non-expansion state
Oregon	100,000 to 500,000
Pennsylvania	Over 500,000
Puerto Rico	100,000 to 500,000
Rhode Island	Less than 100,000
South Carolina	Non-expansion state
South Dakota	Non-expansion state
Tennessee	Non-expansion state
Texas	Non-expansion state
Utah	Non-expansion state
Vermont	Less than 100,000
Virgin Islands	Less than 100,000
Virginia	Non-expansion state
Washington	Over 500,000
West Virginia	100,000 to 500,000
Wisconsin	Non-expansion state
Wyoming	Non-expansion state

Source: Medicaid Budget and Expenditure System (MBES) Enrollment July - September 2017.

Notes: Medicaid Expansion Enrollment includes Group VIII enrollees as of September 2017. Virginia implemented Medicaid expansion January 1, 2019 and Maine implemented Medicaid expansion January 10, 2019.

Dual-Eligible Enrollment

Who Enrolls in Medicaid & CHIP?

Recent enrollment statistics for Medicaid and CHIP, such as enrollment by age, sex, and state.

National Context

Dual-Eligible Enrollment US Map with the categories and values. Description in the following table.

State	Dual-Eligible Enrollment
AK	Less than 50,000
AL	50,000 to 100,000
AR	50,000 to 100,000
AZ	100,000 to 400,000
CA	Over 400,000
CO	50,000 to 100,000
CT	50,000 to 100,000
DC	Less than 50,000
DE	Less than 50,000
FL	100,000 to 400,000
GA	100,000 to 400,000
HI	Less than 50,000
IA	50,000 to 100,000
ID	Less than 50,000
IL	100,000 to 400,000
IN	100,000 to 400,000
KS	Less than 50,000
KY	50,000 to 100,000
LA	100,000 to 400,000
MA	100,000 to 400,000
MD	50,000 to 100,000
ME	50,000 to 100,000
MI	100,000 to 400,000
MN	100,000 to 400,000
MO	100,000 to 400,000
MS	50,000 to 100,000
MT	Less than 50,000
NC	100,000 to 400,000
ND	Less than 50,000
NE	Less than 50,000
NH	Less than 50,000
NJ	100,000 to 400,000
NM	50,000 to 100,000
NV	Less than 50,000
NY	Over 400,000
OH	100,000 to 400,000
OK	50,000 to 100,000
OR	50,000 to 100,000
PA	100,000 to 400,000
RI	Less than 50,000
SC	100,000 to 400,000
SD	Less than 50,000
TN	100,000 to 400,000
TX	100,000 to 400,000
UT	Less than 50,000
VA	100,000 to 400,000
VT	Less than 50,000
WA	100,000 to 400,000
WI	100,000 to 400,000
WV	Less than 50,000
WY	Less than 50,000

Share of Dual-Eligibile by Current Reason for Medicare Entitlement Bar Graph with the categories and values. Description provided in the following table.

Sources: Dual-Eligible Enrollment Data come from Monthly Enrollment Snapshots: Quarterly Update from December 2018. Share of Dual-Eligible Enrollment by Current Reason for Medicare Entitlement data come from the Medicare-Medicaid Coordination Office Annual Enrollment Trends (2006-2018 data).