Across the country, 78% of states’ Medicaid beneficiaries, where applicable, were enrolled through a Medicaid managed care organization in 2024.
KFF published the 2024 data showing percentages of the Medicaid population enrolled in managed care. KFF did not consider Idaho to be a managed care organization state, so it was excluded from the nationwide calculation but included in the ranking due to its dual-eligible population. Alabama, Alaska, Connecticut, Maine, Montana, South Dakota, Vermont and Wyoming do not contract with Medicaid managed care organizations, so they were excluded from the ranking.
Here are the contracting states, along with the District of Columbia and Puerto Rico, ranked by percentage of Medicaid beneficiaries in managed care:
Note: This list includes ties.
1 (tie). Hawaii: 100%
1 (tie). Nebraska: 100%
1 (tie). Puerto Rico: 100%
2 (tie). Michigan: 98%
2 (tie). Oregon: 98%
3. California: 96%
4. Maryland: 95%
5. Tennessee: 94%
6 (tie). Iowa: 93%
6 (tie). Texas: 93%
6 (tie). Virginia: 93%
7. Pennsylvania: 92%
8 (tie). New Hampshire: 91%
8 (tie). New Jersey: 91%
9 (tie). Kentucky: 90%
9 (tie). Ohio: 90%
10. District of Columbia: 87%
11. Delaware: 85%
12 (tie). Arizona: 84%
12 (tie). Louisiana: 84%
12 (tie). Missouri: 84%
12 (tie). Rhode Island: 84%
12 (tie). Washington: 84%
13. Minnesota: 83%
14 (tie). Indiana: 82%
14 (tie). New Mexico: 82%
15 (tie). Kansas: 79%
15 (tie). North Carolina: 79%
15 (tie). Utah: 79%
16 (tie). Illinois: 76%
16 (tie). West Virginia: 76%
16 (tie). Mississippi: 74%
16 (tie). Nevada: 74%
17. Florida: 70%
18. Georgia: 69%
19. New York: 68%
20. Wisconsin: 67%
21. South Carolina: 60%
22. Oklahoma: 55%
23. Massachusetts: 46%
24. North Dakota: 23%
25. Colorado: 9%
26. Idaho: 6%
27. Arkansas: 5%
