Medicaid

New and noteworthy

Medicaid Watch

On Medicaid Watch, where KFF is closely tracking the Medicaid finance debate, you’ll find the latest on the possible implications of federal cuts, debates about waste, fraud, abuse, and improper payments, considerations of work requirements, news stories about the people who will be affected, and more.

Robin Rudowitz

Feb 20, 2025

In the face of reduced federal funding for Medicaid, states could be left with difficult choices – raise revenue or cut spending. Cuts to Medicaid could mean eliminating coverage for children, parents, working adults or those who might need long term care; limiting benefits; or cutting rates for plans or providers. … more

The Essentials

Medicaid Section 1115 Waivers: The Basics
We explain how these waivers are used, summarize key waiver requirements, and outline the application and approval process.
Medicaid Financing: The Basics
Medicaid represents $1 out of $6 spent on health care in the U.S. and is the major source of financing for state health coverage and long-term services and supports for low-income residents.
Health Policy 101: Medicaid
KFF’s new primer on U.S. health policy examines how major public programs like Medicaid, Medicare, and the ACA are structured, funded, operated, and more.
10 Things: Medicaid Managed Care
Managed care is the dominant delivery system for people enrolled in Medicaid. Data show that 75% of Medicaid beneficiaries nationally were enrolled in comprehensive managed care organizations (MCOs) in 2022.

Eligibility and coverage

Eligibility, Enrollment, and Renewal Policies
KFF’s survey findings capture state actions that seek to improve the accuracy and efficiency of Medicaid and CHIP enrollment and renewal processes, as of January 2025.
Seniors and People with Disabilities
More than 1 in 3 people with disabilities (15 million) have Medicaid (35%). In comparison, only 19% of people without disabilities have Medicaid.
Services in Assisted Living Facilities
In 34 states, Medicaid covers personal care provided in assisted living facilities, and 29 states make services such as personal care available to residents at all times.
Adults with Mental Illness
Options under consideration in Congress to significantly reduce Medicaid spending could have major implications for adults who live with mental illness.
Adults with Chronic Conditions
Among working age adults enrolled in Medicaid, approximately three quarters have one or more chronic conditions, and nearly one-third have three or more.