KFF sourced Urban Institute estimates based on data from CMS, as of September 2023. In Nebraska, some long-term Medicaid spending is reported under managed care. New York data may reflect anomalous spending due to adjustments, changes in expenditures and lags in state claims.
Total managed care spending includes payments made to health maintenance organizations, prepaid health plans and other health plans, along with primary care case management fees.
States ranked by annual Medicaid managed care spend:
- New York: $50.8 billion
- California: $50.5 billion
- Texas: $37.5 billion
- Pennsylvania: $32.3 billion
- Florida: $22.1 billion
- Ohio: $19.8 billion
- Illinois: $19 billion
- Arizona: $16.3 billion
- Michigan: $13.9 billion
- New Jersey: $13.7 billion
- Washington: $12.3 billion
- Virginia: $10.9 billion
- Kentucky: $10.3 billion
- North Carolina: $10 billion
- Louisiana: $9.9 billion
- Massachusetts: $8.6 billion
- Indiana: $8.3 billion
- Minnesota: $8.1 billion
- Tennessee: $8 billion
- Oregon: $7.7 billion
- Maryland: $6.6 billion
- New Mexico: $6.6 billion
- Iowa: $6.1 billion
- Wisconsin: $6 billion
- Georgia: $5.5 billion
- Arkansas: $4.1 billion
- Kansas: $3.9 billion
- Missouri: $3.6 billion
- South Carolina: $3.4 billion
- Hawaii: $2.7 billion
- Mississippi: $2.6 billion
- Nevada: $2.5 billion
- Delaware: $2.5 billion
- West Virginia: $2.4 billion
- Colorado: $2.2 billion
- Utah: $2.1 billion
- Nebraska: $2 billion
- Rhode Island: $1.9 billion
- District of Columbia: $1.6 billion
- New Hampshire: $1.1 billion
- Idaho: $828.6 million
- North Dakota: $423.1 million
- Connecticut: $135.6 million
- Alabama: $132.3 million
- Oklahoma: $81.9 million
- Montana: $52.8 million
- Maine: $10.8 million
- Wyoming: $2.4 million
- South Dakota: $1.4 million
- Alaska: $692,683
- Vermont: $0
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 17–19 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
