Medicaid Budget Survey

KFF’s annual Medicaid budget survey tracks trends in spending and enrollment, policy actions for eligibility and enrollment, provider rates, provider taxes/fees, premiums and cost-sharing, benefits and pharmacy, long-term care, and more. KFF has published the 50-state surveys annually since 2000. It includes the annual surveys as well as shorter mid-year updates that were conducted in select years.

The report, based on the annual survey, is traditionally released each Fall and tracks trends in Medicaid spending and enrollment, as well as Medicaid policy actions around eligibility and enrollment, provider rates, provider taxes/fees, premiums and cost-sharing, benefits and pharmacy, long-term care and delivery system and payment reform.

Publications dating back to FY 2016-17 can be found below. Publications from FY 2015-16 and earlier can be found here.

Data are captured from Medicaid directors and staff through the completion of written surveys as well as structured follow-up telephone interviews. Each survey focuses on spending and enrollment trends and policy actions taken in the state fiscal year that just ended as well as definitive plans for the coming year. The survey does not attempt to catalog all Medicaid policies. Experience has shown that adopted policies are sometimes delayed or not implemented for reasons related to legal, fiscal, administrative, systems or political considerations, or due to delays in approval from Centers for Medicare & Medicaid Services (CMS). Policy changes under consideration are not included in the survey.

The annual survey is conducted by KFF and Health Management Associates. Beginning in 2014, the survey was completed through a partnership with the National Association of Medicaid Directors (NAMD).