Idaho Medicaid Program Overview

Enrollment, funding, and managed care facts for Idaho Medicaid.

Get Idaho's Medicaid Fee Schedule →
0.31-0.33M
Enrolled
Expanded
ACA expansion status
66.91%
Federal match (FMAP), FFY2026
6-6.4%
In managed care

Enrollment

Idaho Medicaid covered approximately 0.31-0.33M people. Two independent sources give different-period figures for total Idaho Medicaid/CHIP enrollment: KFF's state indicator (310,400, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (331,580 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.

Funding & federal match

Idaho has adopted ACA Medicaid expansion, effective 2020-01-01.

For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Idaho's Federal Medical Assistance Percentage (FMAP) is 66.91%.

Delivery system & managed care

A large share of Idaho Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 6-6.4% of Medicaid enrollees.

Waivers

Idaho operates Medicaid managed care under the Idaho Behavioral Health Transformation, a Section 1115 demonstration waiver. Allows Medicaid reimbursement for mental health and substance use disorder services provided to adults in Institutions for Mental Diseases (IMDs), as part of a broader effort to expand community-based behavioral health care, improve care coordination, and reduce ED visits and inpatient psychiatric hospitalizations. Approved by CMS in April 2020 for a five-year demonstration period (through ~March/April 2025); a full renewal application was submitted March 12, 2025, and CMS granted a temporary extension while that application is under review, currently through September 30, 2026.

Frequently Asked Questions

Yes. Idaho has adopted ACA Medicaid expansion. Effective 2020-01-01.

Get Idaho's Free Medicaid Fee Schedule

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