This web page supplies entry to the studies stemming from the 50-state Medicaid price range surveys revealed yearly since 2000 by KFF. It consists of the annual surveys in addition to shorter mid-year updates that have been carried out in choose years. The report based mostly on the annual survey is historically launched every Fall and tracks developments in Medicaid spending and enrollment, in addition to Medicaid coverage actions round eligibility and enrollment, supplier charges, supplier taxes/charges, premiums and cost-sharing, advantages and pharmacy, long-term care and supply system and fee reform.
Knowledge are captured from Medicaid administrators and employees by way of the completion of written surveys in addition to structured follow-up phone interviews. Every survey focuses on spending and enrollment developments in addition to coverage actions taken for the within the state fiscal 12 months that simply ended in addition to definitive plans for the approaching 12 months. The survey doesn’t try to catalog all Medicaid insurance policies. Expertise has proven that adopted insurance policies are typically delayed or not applied, for causes associated to authorized, fiscal, administrative, programs or political concerns, or attributable to delays in approval from CMS. Coverage modifications into account will not be included within the survey.
The annual survey is carried out by KFF and Well being Administration Associates. Starting in 2014, the survey was accomplished by way of a partnership with the Nationwide Affiliation of Medicaid Administrators (NAMD).
2022-2023
Medicaid Enrollment & Spending Development: FY 2022 & 2023
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2022 and 2023. Findings are based mostly on information offered by state Medicaid administrators as a part of the twenty second annual survey of Medicaid administrators in states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
How the Pandemic Continues to Form Medicaid Priorities: Outcomes from an Annual Medicaid Funds Survey for State Fiscal Years 2022 and 2023
This report supplies an in-depth examination of the modifications happening in Medicaid applications throughout the nation, as states are making ready for the unwinding of the COVID-19 federal public well being emergency and likewise are specializing in longstanding points and new priorities. The findings are drawn from the twenty second annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA), in collaboration with the Nationwide Affiliation of Medicaid Administrators (NAMD). This report highlights insurance policies in place in state Medicaid applications in FY 2022 and coverage modifications applied or deliberate for FY 2023. Key areas of focus embrace supply programs, well being fairness, advantages, telehealth, supplier charges and taxes, and pharmacy.
Report
2021-2022
Medicaid Enrollment & Spending Development: FY 2021 & 2022
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2021 and 2022. Findings are based mostly on information offered by state Medicaid administrators as a part of the twenty first annual survey of Medicaid administrators in states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
States Reply to COVID-19 Challenges however Additionally Take Benefit of New Alternatives to Tackle Lengthy-Standing Points: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2021 and 2022
This report supplies an in-depth examination of the modifications happening in Medicaid applications throughout the nation, reflecting states’ continued deal with COVID-19 pandemic response as additionally they stay up for the unwinding of the general public well being emergency and different non-emergency priorities. The findings are drawn from the twenty first annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA), in collaboration with the Nationwide Affiliation of Medicaid Administrators (NAMD). This report highlights insurance policies in place in state Medicaid applications in FY 2021 and coverage modifications applied or deliberate for FY 2022; it additionally highlights state experiences with insurance policies adopted in response to the COVID-19 pandemic. Key areas of focus embrace supply programs, advantages and telehealth, social determinants of well being (additionally together with data on well being fairness and COVID-19 vaccine uptake), supplier charges and taxes, and pharmacy price containment.
Report
2020-2021
Medicaid Enrollment & Spending Development: FY 2020 & 2021
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2020 and 2021. Findings are based mostly on information offered by state Medicaid administrators as a part of the twentieth annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
State Medicaid Applications Reply to Meet COVID-19 Challenges: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2020 and 2021
Findings from this 12 months’s price range survey coverage report primarily deal with Medicaid coverage modifications deliberate for FY 2021, significantly these associated to the COVID-19 pandemic. The findings are drawn from the twentieth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by KFF and Well being Administration Associates (HMA), in collaboration with the Nationwide Affiliation of Medicaid Administrators (NAMD). Key areas of focus embrace eligibility and enrollment, supplier charges and taxes, supply programs, long-term providers and helps, advantages and telehealth, and pharmacy price containment.
Report
2019-2020
Medicaid Enrollment & Spending Development: FY 2019 & 2020
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2019 and 2020. Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the nineteenth annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Household Basis (KFF) survey and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
A View from the States: Key Medicaid Coverage Modifications: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2019 and 2020
This report supplies an in-depth examination of the modifications happening in Medicaid applications throughout the nation. The findings are drawn from the nineteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Household Basis (KFF) and Well being Administration Associates (HMA), in collaboration with the Nationwide Affiliation of Medicaid Administrators (NAMD). This report highlights sure insurance policies in place in state Medicaid applications in FY 2019 and coverage modifications applied or deliberate for FY 2020. Key areas of focus highlighted within the report embrace Medicaid initiatives to deal with social determinants of well being, management prescription drug spending, enhance beginning outcomes and cut back toddler mortality, and handle the opioid epidemic.
Report
2018-2019
Medicaid Enrollment & Spending Development: FY 2018 & 2019
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2018 and 2019. Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the 18th annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Household Basis (KFF) survey and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
States Deal with High quality and Outcomes Amid Waiver Modifications: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2018 and 2019
This report supplies an in-depth examination of the modifications happening in Medicaid applications throughout the nation. Report findings are drawn from the annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Household Basis (KFF) and Well being Administration Associates (HMA), in collaboration with the Nationwide Affiliation of Medicaid Administrators (NAMD). This report examines the reforms, coverage modifications, and initiatives that occurred in FY 2018 and people adopted for implementation for FY 2019 (which started for many states on July 1, 2018). Key areas lined embrace modifications in eligibility, managed care and supply system reforms, long-term providers and helps, supplier fee charges and taxes, lined advantages, and pharmacy and opioid methods.
Report
2017-2018
Medicaid Enrollment & Spending Development: FY 2017 & 2018
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2017 and 2018. Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the seventeenth annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Household Basis (KFF) survey and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress.
Concern Transient
Medicaid Transferring Forward in Unsure Occasions: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2017 and 2018
This report supplies an in depth examination of the modifications happening in state Medicaid applications throughout the nation. The findings on this report are drawn from the seventeenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Household Basis and Well being Administration Associates (HMA), with the assist of the Nationwide Affiliation of Medicaid Administrators. This report highlights coverage modifications applied in state Medicaid applications in FY 2017 and people deliberate for implementation in FY 2018 based mostly on data offered by the nation’s state Medicaid Administrators. Key areas lined embrace modifications in eligibility and enrollment, supply and fee system reforms, supplier fee charges, and lined advantages (together with prescription drug insurance policies).
Report
Placing Medicaid within the Bigger Funds Context: An In-Depth Take a look at Three States in FY 2017 and 2018
This report supplies an in-depth examination of Medicaid program modifications within the bigger context of state budgets in three states: Nevada, North Carolina, and West Virginia. These case research construct on findings from the seventeenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Household Basis and Well being Administration Associates (HMA).
Concern Transient
2016-2017
Medicaid Enrollment & Spending Development: FY 2016 & 2017
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2016 and 2017. Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the sixteenth annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured (KCMU) survey and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress and likewise take a look at enlargement versus non-expansion states.
Concern Transient
Implementing Protection and Cost Initiatives: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2016 and 2017
This report supplies an in depth examination of the modifications happening in state Medicaid applications throughout the nation. The findings on this report are drawn from the sixteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA), with the assist of the Nationwide Affiliation of Medicaid Administrators. This report highlights coverage modifications applied in state Medicaid applications in FY 2016 and people deliberate for implementation in FY 2017 based mostly on data offered by the nation’s state Medicaid Administrators. Key areas lined embrace modifications in eligibility and enrollment, supply and fee system reforms, supplier fee charges, and lined advantages (together with prescription drug insurance policies).
Report
Placing Medicaid within the Bigger Funds Context: An In-Depth Take a look at 4 States in FY 2016 and 2017
This report supplies an in-depth examination of Medicaid program modifications within the bigger context of state budgets in 4 states: Maryland, Montana, New York, and Oklahoma. These case research construct on findings from the sixteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA).
Concern Transient
2015-2016
Medicaid Enrollment & Spending Development: FY 2015 & 2016
This difficulty temporary supplies an summary of Medicaid spending and enrollment progress with a deal with state fiscal years 2015 and 2016. Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the fifteenth annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured (KCMU) survey and Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress and likewise take a look at enlargement versus non-expansion states.
Concern Transient (.pdf)
Medicaid Reforms to Develop Protection, Management Prices and Enhance Care: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2015 and 2016
This report supplies an in depth examination of the modifications happening in state Medicaid applications throughout the nation. The findings on this report are drawn from the fifteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA), with the assist of the Nationwide Affiliation of Medicaid Administrators. This report highlights coverage modifications applied in state Medicaid applications in FY 2015 and people deliberate for implementation in FY 2016 based mostly on data offered by the nation¹s state Medicaid Administrators. Key areas lined embrace modifications in eligibility and enrollment, supply and fee system reforms, supplier fee charges, and lined advantages (together with prescription drug insurance policies).
Government Abstract (.pdf)
Report (.pdf)
Placing Medicaid within the Bigger Funds Context: An In-Depth Take a look at Three States in FY 2015 and 2016
This report supplies an in-depth examination of Medicaid program modifications within the bigger context of state budgets in three states: Alaska, California, and Tennessee. These case research construct on findings from the fifteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA).
Concern Transient (.pdf)
2014-2015
Medicaid in an Period of Well being & Supply System Reform: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2014 and 2015
This report supplies an in depth examination of the modifications happening in state Medicaid applications throughout the nation. The findings on this report are drawn from the 14th annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA), with the assist of the Nationwide Affiliation of Medicaid Administrators. This report highlights coverage modifications applied in state Medicaid applications in FY 2014 and people deliberate for implementation in FY 2015 based mostly on data offered by the nation’s state Medicaid Administrators. Key areas lined embrace modifications in eligibility and enrollment, supply programs, supplier funds and taxes, advantages, pharmacy applications, program integrity and program administration.
Government Abstract (.pdf)
Report (.pdf)
Implementing the ACA: Medicaid Spending & Enrollment Development for FY 2014 and FY 2015
This report supplies an summary of Medicaid financing and Medicaid spending and enrollment progress with a deal with state fiscal years 2014 and 2015 (FY 2014 and FY 2015.) Findings are based mostly on interviews and information offered by state Medicaid administrators as a part of the 14th annual survey of Medicaid administrators in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured (KCMU) survey with Well being Administration Associates (HMA). Findings look at modifications in total enrollment and spending progress and likewise take a look at enlargement versus non-expansion states.
Concern Transient (.pdf)
Placing Medicaid within the Bigger Funds Context: An In-Depth Take a look at 4 States in FY 2014 and 2015
This report supplies an in-depth examination of Medicaid program modifications within the bigger context of state budgets in 4 states: Michigan, Utah, Virginia, and West Virginia. These case research construct on findings from the 14th annual price range survey of Medicaid officers in all 50 states and the District of Columbia carried out by the Kaiser Fee on Medicaid and the Uninsured and Well being Administration Associates (HMA.)
Concern Transient (.pdf)
Medicaid in a Historic Time of Transformation: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2013 and 2014
The report findings are drawn from the thirteenth annual price range survey of Medicaid officers in all 50 states and the District of Columbia. The report highlights developments in Medicaid spending, enrollment and coverage initiatives for FY 2013 and FY 2014 with an intense deal with eligibility and enrollment modifications tied to the implementation of the ACA in addition to fee and supply system modifications. The report supplies detailed appendices with state-by-state data and a extra in-depth take a look at 4 case research states: Arizona, Florida, Kentucky and Washington.
Government Abstract (.pdf)
Report (.pdf)
2012-2013
Medicaid At present; Making ready for Tomorrow: A Take a look at State Medicaid Program Spending, Enrollment and Coverage Tendencies Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2012 and 2013
After the worst financial downturn because the Nice Melancholy, state coverage makers have been lastly starting to see indicators of financial restoration on the finish of state fiscal 12 months (FY) 2012 and heading into FY 2013. Development in complete Medicaid spending and enrollment slowed considerably in FY 2012 because the economic system started to enhance. Comparatively sluggish spending and enrollment progress are anticipated to proceed in FY 2013.
Government Abstract (.pdf)
Report (.pdf)
2011-2012
Transferring Forward Amid Fiscal Challenges: A Take a look at Medicaid Spending, Protection and Coverage Tendencies Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2011 and 2012
The eleventh annual 50-State Medicaid price range survey from the Kaiser Household Basis’s Fee on Medicaid and the Uninsured finds that Medicaid officers in just about each state are enacting a wide range of price reducing measures as states’ spending for Medicaid is projected to extend 28.7 p.c in fiscal 12 months 2012 to make up for the lack of federal stimulus cash.
Government Abstract (.pdf)
Report (.pdf)
2010-2011
Hoping for Financial Restoration, Making ready for Well being Reform: A Take a look at Medicaid Spending, Protection and Coverage Tendencies — Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2010 and 2011
This annual 50-state survey finds that variety of states skilled speedy progress of their Medicaid enrollment and spending final 12 months and count on extra progress, although at a slower tempo, in fiscal 12 months 2011.
Government Abstract (.pdf)
Report (.pdf)
2009-2010
The Crunch Continues: Medicaid Spending, Protection and Coverage within the Midst of a Recession
This annual 50-state survey finds that variety of individuals on Medicaid and state spending on this system are climbing sharply because of the recession, straining state budgets and pressuring officers to curb prices regardless of elevated monetary assist from the federal authorities by way of the American Restoration and Reinvestment Act (ARRA).
Government Abstract (.pdf)
Report (.pdf)
2008-2009
Headed for a Crunch: An Replace on Medicaid Spending, Protection and Coverage Heading into an Financial Downturn, Outcomes from a 50-State Medicaid Funds Survey for State Fiscal 12 months 2008 and 2009
As states finalized Medicaid coverage choices for fiscal 12 months 2009, they confronted a dramatically totally different scenario than the prior 12 months. Firstly of state fiscal 12 months 2008, the economic system was usually robust and plenty of states have been restoring cuts from the final financial downturn and shifting ahead with Medicaid enhancements and expansions to cowl extra low-income uninsured people. A 12 months later, over half of all states confronted vital price range shortfalls and slower than anticipated state income progress. For some states, plans to broaden Medicaid have been placed on maintain as states struggled to allocate funding and stability their budgets. Regardless of the price range crunch, few states took vital actions to chop Medicaid. Over the last financial downturn from 2001 to 2004, a lot of the main Medicaid restrictions got here later within the downturn cycle, not on the very starting.
Report (.pdf)
2007-2008
As Powerful Occasions Wane, States Act to Enhance Medicaid Protection and High quality: Outcomes from a 50-State Medicaid Funds Survey for State Fiscal Years 2007 and 2008
The annual 50-state survey of state officers on Medicaid and state price range actions studies enrollment in Medicaid declined for the primary time in practically a decade. The 0.5 p.c enrollment decline in fiscal 12 months 2007 was pushed primarily by two elements. States reported that the brand new citizenship documentation necessities have been inflicting vital delays in processing functions, affecting largely people already eligible for this system. State officers additionally cited the nice economic system and decrease unemployment for lowering enrollment. Confronted with an bettering economic system, 42 states count on to broaden protection to the uninsured within the subsequent 12 months.
Government Abstract (.pdf)
Report (.pdf)
2006-2007
Low Medicaid Spending Development Amid Rebounding State Revenues: Outcomes From a 50-State Medicaid Funds Survey State Fiscal Years 2006 and 2007
The 50-state annual survey about price range circumstances and Medicaid price containment actions in FY2006-07 finds an improved economic system mixed with the implementation of the brand new Medicare prescription drug profit has contributed to the bottom price of Medicaid spending progress in a decade and the fourth consecutive 12 months during which Medicaid spending progress has slowed.
Report (.pdf)
Government Abstract (.pdf)
2005-2006
Medicaid Budgets, Spending and Coverage Initiatives in State Fiscal Years 2005 and 2006
The 50-state annual survey of about price range circumstances and Medicaid price containment actions in FY2005-06 exhibits that each one states applied and deliberate extra Medicaid cost-containment actions, however are additionally implementing expansions because the hole between Medicaid spending progress and state tax income narrowed.
Report (.pdf)
Government Abstract (.pdf)
2004-2005
The Persevering with Medicaid Funds Problem: State Medicaid Spending Development and Price Containment in Fiscal Years 2004 and 2005
The 50-state annual survey of about price range circumstances and Medicaid price containment actions in FY2004-05 exhibits that each one states plan extra Medicaid cost-containment actions in FY2005.
Report (.pdf)
2003-2004
States Reply to Fiscal Stress: State Medicaid Spending Development and Price Containment
The third annual survey of the 50 states and the District of Columbia reveals that each one 50 states and DC applied Medicaid price management methods in FY2003 and so they all deliberate extra motion for FY2004 as they deal with fiscal disaster.
Report (.pdf)
2002-2003
Medicaid Spending Development: Outcomes from a 2002 Survey
The report presents the findings of a 50 state survey of Medicaid administrators, figuring out state Medicaid spending developments and the way states are responding to them for FY 2003 budgets.
Report (.pdf)
2000-2002
Medicaid Budgets Beneath Stress: Survey Findings for State Fiscal 12 months 2000, 2001, and 2002
A brand new survey of states detailing present Medicaid spending, the elements contributing to the expansion, and what states are doing to curb the expansion.
Report (.pdf)