States ranked by Medicaid spending per enrollee

Washington, D.C. has the highest Medicaid spending per enrollee, while Tennessee has the lowest, according to an Aug. 16 report from KFF.

National Medicaid spending per enrollee was $7,593 in 2021, the most recent data available.

This data includes total state and federal spending per enrollee for full-benefit Medicaid enrollees. Overall, children account for 37% of full-benefit enrollment, but only 15% of spending. Seniors and individuals with disabilities account for 21% of enrollment but 52% of spending.

States ranked by Medicaid spending per enrollee:

  1. Washington, D.C: $12,425
  2. Virginia: $11,915
  3. Minnesota: $11,381
  4. Massachusetts: $10,456
  5. Delaware: $10,360
  6. New York: $9,872
  7. Kentucky: $9,702
  8. Kansas: $9,449
  9. Alaska: $9,063
  10. New Hampshire: $9,048
  11. New Jersey: $8,934
  12. Connecticut: $8,887
  13. Nebraska: $8,879
  14. North Dakota: $8,854
  15. Ohio: $8,824
  16. Maryland: $8,750
  17. Maine: $8,742
  18. Pennsylvania: $8,415
  19. Utah: $8,403
  20. Indiana: $8,334
  21. Missouri: $8,103
  22. Rhode Island: $8,073
  23. South Dakota: $8,069
  24. Mississippi: $7,836
  25. Vermont: $7,824
  26. Arizona: $7,800
  27. Iowa: $7,767
  28. California: $7,646
  29. New Mexico: $7,543
  30. North Carolina: $7,494
  31. Louisiana: $7,418
  32. West Virginia: $7,317
  33. Wisconsin: $7,295
  34. Idaho: $7,269
  35. Wyoming: $7,230
  36. Texas: $7,201
  37. Oregon: $7,026
  38. Washington: $6,915
  39. Montana: $6,905
  40. Hawaii: $6,690
  41. Arkansas: $6,357
  42. Colorado: $6,069
  43. Michigan: $5,835
  44. Illinois: $5,650
  45. South Carolina: $5,365
  46. Nevada: $5,267
  47. Alabama: $5,226
  48. Georgia: $5,223
  49. Florida: $5,181
  50. Oklahoma: $4,839
  51. Tennessee: $3,750

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