States ranked by annual Medicaid managed care spend

New York spends the most on its Medicaid managed care program every year, according to data published by KFF in November. The U.S. total is more than $441 billion.

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:

  1. New York: $50.8 billion
  2. California: $50.5 billion
  3. Texas: $37.5 billion
  4. Pennsylvania: $32.3 billion
  5. Florida: $22.1 billion
  6. Ohio: $19.8 billion
  7. Illinois: $19 billion
  8. Arizona: $16.3 billion
  9. Michigan: $13.9 billion
  10. New Jersey: $13.7 billion
  11. Washington: $12.3 billion
  12. Virginia: $10.9 billion
  13. Kentucky: $10.3 billion
  14. North Carolina: $10 billion
  15. Louisiana: $9.9 billion
  16. Massachusetts: $8.6 billion
  17. Indiana: $8.3 billion
  18. Minnesota: $8.1 billion
  19. Tennessee: $8 billion
  20. Oregon: $7.7 billion
  21. Maryland: $6.6 billion
  22. New Mexico: $6.6 billion
  23. Iowa: $6.1 billion
  24. Wisconsin: $6 billion
  25. Georgia: $5.5 billion
  26. Arkansas: $4.1 billion
  27. Kansas: $3.9 billion
  28. Missouri: $3.6 billion
  29. South Carolina: $3.4 billion
  30. Hawaii: $2.7 billion
  31. Mississippi: $2.6 billion
  32. Nevada: $2.5 billion
  33. Delaware: $2.5 billion
  34. West Virginia: $2.4 billion
  35. Colorado: $2.2 billion
  36. Utah: $2.1 billion
  37. Nebraska: $2 billion
  38. Rhode Island: $1.9 billion
  39. District of Columbia: $1.6 billion
  40. New Hampshire: $1.1 billion
  41. Idaho: $828.6 million
  42. North Dakota: $423.1 million
  43. Connecticut: $135.6 million
  44. Alabama: $132.3 million
  45. Oklahoma: $81.9 million
  46. Montana: $52.8 million
  47. Maine: $10.8 million
  48. Wyoming: $2.4 million
  49. South Dakota: $1.4 million
  50. Alaska: $692,683
  51. Vermont: $0


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