Which states pay the most for Medicaid?

Asked by: Dennis Kuhic  |  Last update: April 14, 2025
Score: 4.1/5 (7 votes)

Across states, Medicaid spending per enrollee ranged from $3,750 to $12,425, with a median spending of $7,784 (Figure 2). Tennessee, Florida, Oklahoma, and Nevada reported some of the lowest spending per enrollee, while Washington, D.C., Virginia, Massachusetts, and Minnesota reported the highest spending per enrollee.

What state has the highest Medicaid reimbursement rates?

Ten states with the highest Medicaid reimbursement rates, as a percentage of a weighted national average Medicaid reimbursement for the same procedure:
  • Nebraska: 234 percent.
  • Alaska: 226 percent.
  • Arkansas: 185 percent.
  • Montana: 173 percent.
  • Arizona: 147 percent.
  • Delaware: 141 percent.
  • Virginia: 140 percent (tie)

Which US state has the best Medicaid?

The top states—ranked from 1 to 10—are Massachusetts, Nebraska, Vermont, Alaska, Wisconsin, Rhode Island, Minnesota, New York, Washington, and New Hampshire.

What state has the highest Medicaid limit?

The state with the highest income limits for both a family of three and individuals is Washington, D.C. If you live in this area, a family of three can qualify for Medicaid if their income is at 221% of the FPL. For other adults, the limit is set at 251% of the FPL.

Does Medicaid work in all 50 states?

Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.

How much income can you have for Medicaid?

21 related questions found

Which 10 states have not expanded Medicaid?

The Affordable Care Act, also known as Obamacare, was enacted in 2010, but 10 states have not expanded Medicaid, the federal-state program that provides health care for low-income people. They are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.

Who is the largest payer of Medicaid?

Medicaid is the largest single payer of maternity care in the U.S., covering more than 40% of U.S. births and playing a critical role in ensuring healthy moms and babies. Medicaid accounts for 75% of public family planning dollars, every $1 of which saves Medicaid $7.09.

What states have the most expensive health care?

North Carolina is the most expensive state for healthcare, and Hawaii is the most affordable, according to one new analysis. The analysis is from Forbes Advisor, which used data from KFF, the CDC and Mental Health America to compare all 50 states and Washington, D.C., across nine metrics.

Which state has the largest Medicaid program?

California is the number one state for Medicaid spending, according to the U.S. News & World Report. This is no surprise, as California has the largest Medicaid program in the nation, Medi-Cal.

What state is the hardest to get Medicaid in?

The worst, in order from 50th to 41st, are in Mississippi, Idaho, Texas, Oklahoma, South Dakota, Indiana, South Carolina, Colorado, Alabama, and Missouri.

Which state has the best healthcare for poor people?

  • Hawaii. #1 in Health Care Affordability. ...
  • Vermont. #2 in Health Care Affordability. ...
  • Massachusetts. #3 in Health Care Affordability. ...
  • Iowa. #4 in Health Care Affordability. ...
  • South Dakota. #5 in Health Care Affordability. ...
  • Rhode Island. #6 in Health Care Affordability. ...
  • Minnesota. #6 in Health Care Affordability. ...
  • Maine.

How many states do not accept Medicaid?

To date, 41 states (including DC) have adopted the Medicaid expansion and 10 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.

Which US state has best Medicaid?

25 States With the Best Medicaid Benefits
  1. Massachusetts. In Massachusetts, you have the advantage of an extensive health insurance program called MassHealth. ...
  2. New York. ...
  3. Vermont. ...
  4. Rhode Island. ...
  5. 5. California. ...
  6. Connecticut. ...
  7. Pennsylvania. ...
  8. Washington.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

Who uses Medicaid the most?

In 2020, Medicaid and CHIP provided coverage for nearly 55 million people of color. These programs provide essential coverage for a population that is more diverse than the broader U.S. population—especially among children, with 61 percent of Medicaid and CHIP enrollees under age 19 being children of color.

What state is #1 in healthcare?

Hawaii, Massachusetts, Minnesota, Iowa, and Connecticut are the top-ranked states according to the 2020 Scorecard, which assesses all 50 states and the District of Columbia on more than 45 measures of access to health care, quality of care, service use and costs of care, health outcomes, and income-based health care ...

What state has the best healthcare benefits?

  • Hawaii. #1 in Health Care. #34 in Best States Overall. ...
  • Massachusetts. #2 in Health Care. #10 in Best States Overall. ...
  • Connecticut. #3 in Health Care. #20 in Best States Overall. ...
  • New Jersey. #4 in Health Care. ...
  • Rhode Island. #5 in Health Care. ...
  • California. #6 in Health Care. ...
  • Maryland. #7 in Health Care. ...
  • New York. #8 in Health Care.

Who is the largest Medicaid provider in the US?

Today, Centene is the largest Medicaid managed care organization in the nation serving 13.1 million members, and a leader in California, Florida, New York, and Texas, four of the largest Medicaid states.

Is Medicaid or Medicare more generous?

The study finds that provider reimbursement rates are about 10 percent higher on average under Medicare, accounting for three-quarters of the increased cost of coverage. Overall healthcare utilization is roughly comparable across the two programs, only 3 percent higher under Medicare.

Who funds Medicaid in the US?

The Medicaid program is jointly funded by both the federal government and state or territorial governments. Medicaid is one of single largest expenditures for states, accounting for almost 30% in total spending (including federal funds) and 18% of state-funded spending.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What states offer free health insurance?

  • California. State offers public health coverage to all adults regardless of immigration status.
  • Colorado. State offers private health coverage with state subsidies to all adults regardless of immigration status.
  • Illinois. ...
  • Minnesota. ...
  • New york. ...
  • Oregon. ...
  • Washington. ...
  • District of columbia.

Why has Florida not expanded Medicaid?

Concerns about the financial sustainability of such an expansion and the potential strain it could place on the state's budget were key factors in this decision. This choice set Florida apart from many other states that opted to expand their Medicaid programs to provide healthcare coverage to a broader population.